PHYLLIS RAYNOR - NPI 1265804066 - Nurse Practitioner in West Columbia, SC

Q: What is Phyllis Raynor's NPI number?

The NPI number for Phyllis Raynor is 1265804066. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Q: What is Phyllis Raynor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Raynor was last updated on October 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Phyllis Raynor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS RAYNOR (NPI 1265804066) is an individual psychiatric/mental health provider in West Columbia, South Carolina, licensed in South Carolina (APRN19777) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1265804066

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NamePHYLLIS RAYNOR

Location Address2900 SUNSET BLVDWest Columbia, SC 29169-3422

Mailing Address206 Cedar View DrIrmo, SC 29063-7929 · (803) 466-5082

Phone(803) 796-9911

Sole ProprietorNo

Enumeration DateOctober 20, 2015

✔ NPI 1265804066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in SC · APRN19777

2900 SUNSET BLVD, West Columbia, SC 29169

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIONA GUESS PRAYLOW MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)