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Contact Information

RAEGAN GRISCOM
1601 KIRKWOOD HWY FL 3
WILMINGTON, DE19805-4917
 Phone: 302-994-5211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RAEGAN GRISCOM · (Female)

NPI Number 1932775004
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2021
Last updated 05/31/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • DE License # LP-0010421
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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