Individual provider · Type 1 NPI
Mia Raab, BSN, RN, PHN
School Registered Nurse · South Lake Tahoe, CA
NPI number
1548086739
Active
Practice location
3501 Spruce Ave
South Lake Tahoe, CA 96150-2318
Fax (530) 543-2342
Other practice locations
- 1095 E San Bernardino Ave, South Lake Tahoe, CA 96150-5235 · (530) 545-2371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | 723456 (CA) |
School Registered Nurse: Definition to come...
3 other providers at this address
Other school registered nurse providers in South Lake Tahoe
About NPI 1548086739
Mia Raab, BSN, RN, PHN's National Provider Identifier is 1548086739, issued on Dec 3, 2024. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Dec 3, 2024.