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

RAVEN EBANEZ, APRN-CNP

Active

RAVEN EBANEZ, APRN-CNP is a Family Medicine healthcare provider located in PRESTON, Idaho. NPI 1265290837 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PRESTON, ID

Registration Details

NPI Number
1265290837
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2024 (2.3997870916108 yrs)
Last Updated
May 15, 2024
License
59770 (ID)

Practice Information

Address
44 N 1ST E
PRESTON, ID, 832631326
Browse ID providers · Browse ZIP 83263
Phone
2088522900
Fax
2088523511
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PRESTON, ID

Name Credential NPI
DR. REX EMERSON WORTHAM M.D. 1679580492
DR. DAVID BRADLEY BECKSTEAD MD 1801909122
DANIEL YUGI PATTEN MD 1245490390
DR. GORDON SCOTT BONTRAGER MD 1780919829
DR. STUART G KNAPP MD 1780979914
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.