Provider Demographics
NPI:1861033789
Name:DONCHESS, RAEGAN N
Entity Type:Individual
Prefix:
First Name:RAEGAN
Middle Name:N
Last Name:DONCHESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10495 S PROGRESS WAY UNIT 206
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4032
Mailing Address - Country:US
Mailing Address - Phone:575-770-9745
Mailing Address - Fax:
Practice Address - Street 1:10495 S PROGRESS WAY UNIT 206
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4032
Practice Address - Country:US
Practice Address - Phone:575-770-9745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator