| NPI | 1962203554 |
|---|---|
| Other Name | RAYDIANCE |
| Entity Type | Organization |
| Authorized Contact | ALICIA SUSANNE EMERY Owner 423-741-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-04-24 |