Basic Information
Provider Information
NPI: 1316552664
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABSHER
FirstName: RAYE
MiddleName: LYNN
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 645 N MAIN ST
Address2:  
City: HIGH POINT
State: NC
PostalCode: 272605017
CountryCode: US
TelephoneNumber: 3368830029
FaxNumber: 3368830867
Practice Location
Address1: 190 INDEPENDENCE AVE STE B
Address2:  
City: NORTH WILKESBORO
State: NC
PostalCode: 286594270
CountryCode: US
TelephoneNumber: 3362892289
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/14/2020
LastUpdateDate: 12/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X5013524NCN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
208VP0000X5013524NCY Allopathic & Osteopathic PhysiciansPain MedicinePain Medicine

No ID Information.


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