Provider Demographics
NPI:1801970280
Name:RAYMOND, NANCY C (MD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:C
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3989 CENTRAL AVE NE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-3900
Mailing Address - Country:US
Mailing Address - Phone:612-273-8700
Mailing Address - Fax:
Practice Address - Street 1:2312 S 6TH ST
Practice Address - Street 2:SUITE F256/2B WEST
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1336
Practice Address - Country:US
Practice Address - Phone:612-273-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2025-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN322192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN15-39937OtherMEDICA CHOICE
MNHP22354OtherHEALTH PARTNERS
MN15-39937OtherMEDICA PRIMARY
MN1009279OtherPREFERRED ONE
MN363283100Medicaid
MN102823OtherUCARE
MN768316OtherARAZ
MN6D707RAOtherBLUE CROSS BLUE SHIELD
MNHP22354OtherHEALTH PARTNERS
260021320Medicare ID - Type UnspecifiedRAILROAD
MN1009279OtherPREFERRED ONE