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NPI Profile for RAINEY C BANICK WOOD in CHEHALIS, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1720605678 |
|
| Status | Active | |
| Credentials | ARNP (Advanced Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/26/2020 | |
| Last updated | 10/13/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RAINEY C BANICK WOOD
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RAINEY C BANICK WOOD, ARNP