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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA RAYVONTI, CPSS. B.S. FPSS

Active Sole Proprietor

TARA RAYVONTI, CPSS. B.S. FPSS is a Case Manager healthcare provider located in PAUL, Idaho. NPI 1124872072 is currently active in the NPPES registry. Verify at CMS.

Case Manager · PAUL, ID

Registration Details

NPI Number
1124872072
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2024 (2.3256632323412 yrs)
Last Updated
Apr 16, 2024
Sole Proprietor
Yes

Practice Information

Address
PO BOX 754
PAUL, ID, 833470754
Browse ID providers · Browse ZIP 83347
Phone
2088788887
Fax
2088786888
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.