Provider Demographics
NPI:1356189609
Name:RAAH, ELYON
Entity type:Individual
Prefix:
First Name:ELYON
Middle Name:
Last Name:RAAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BAINDU
Other - Middle Name:
Other - Last Name:DASSAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:169 64TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8632
Mailing Address - Country:US
Mailing Address - Phone:515-525-9157
Mailing Address - Fax:
Practice Address - Street 1:169 64TH ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8632
Practice Address - Country:US
Practice Address - Phone:515-525-9157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker