Raven Ebanez, APRN-CNP

NPI #1265290837 in Preston, Idaho

Provider Information

NPI Number
1265290837
Entity Type
Individual
Name
Raven Ebanez, APRN-CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
APRN-CNP
Enumeration Date
Mar 8, 2024
Last Updated
May 15, 2024

Practice Location

Address
44 N 1ST E
State
Idaho
ZIP Code
83263-1326
Phone
(208) 852-2900

Specialties & Taxonomy Codes

Specialty
Family Medicine

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