Provider Demographics
NPI:1851559025
Name:RAYFORD, ANN KATHLEEN (ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:KATHLEEN
Last Name:RAYFORD
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:KATHLEEN
Other - Last Name:CLIFTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:408 MEADOW BROOK RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4452
Mailing Address - Country:US
Mailing Address - Phone:248-370-2341
Mailing Address - Fax:248-370-2691
Practice Address - Street 1:408 MEADOW BROOK RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48309-4452
Practice Address - Country:US
Practice Address - Phone:248-370-2341
Practice Address - Fax:248-370-2691
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704243472363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP35120179Medicare PIN