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NPI Profile for MIMI Y RAYBURN in SHELBYVILLE, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1073800512 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 07/05/2011 | |
| Last updated | 04/05/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MIMI Y RAYBURN
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MIMI Y RAYBURN, APRN