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RAVEN EBANEZ, APRN-CNP
APRN-CNP
Family Medicine Physician
NPI: 1265290837IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
59770(ID)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 44 N 1ST E
PRESTON, ID 83263 - Phone
- (208) 852-2900
Quick Facts
- NPI
- 1265290837
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 3
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