Provider Demographics
NPI:1336571256
Name:RAPHA FAMILY WELLNESS PLLC
Entity Type:Organization
Organization Name:RAPHA FAMILY WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MALINDA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LINN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:615-338-5750
Mailing Address - Street 1:129 INDIAN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3820
Mailing Address - Country:US
Mailing Address - Phone:615-338-5750
Mailing Address - Fax:615-447-3827
Practice Address - Street 1:129 INDIAN LAKE RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3820
Practice Address - Country:US
Practice Address - Phone:615-338-5750
Practice Address - Fax:615-447-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2008207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty