National Provider Identifier

Traci Raynor, NP

Traci Raynor, NP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Warsaw, NY and a listed phone number of (585) 786-0220.

NPI 1336534767Warsaw, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1336534767
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
April 02, 2015
Last Updated
July 22, 2015

Practice Location

  • 34 N Main St
  • Warsaw, NY 14569-1326

Phone: (585) 786-0220

Mailing Address

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1336534767
Entity Type
Individual
Last Name
Raynor
First Name
Traci
Credential
NP
Mailing Street Address
227 Thorn Ave
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2600
Mailing Country
US
Mailing Phone
(716) 662-2040
Mailing Fax
(716) 662-0019
Practice Street Address
34 N Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1326
Practice Country
US
Practice Phone
(585) 786-0220
Practice Fax
(585) 786-3631
Enumeration Date
April 02, 2015
Last Updated
July 22, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)