Provider Demographics
NPI:1528304300
Name:RAISOR, EVA KATHERINE (FNP)
Entity type:Individual
Prefix:MRS
First Name:EVA
Middle Name:KATHERINE
Last Name:RAISOR
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:3245 SOUTHWESTERN BLVD
Mailing Address - Street 2:WELLNOW
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127
Mailing Address - Country:US
Mailing Address - Phone:716-608-2038
Mailing Address - Fax:716-205-3990
Practice Address - Street 1:3245 SOUTHWESTERN BLVD
Practice Address - Street 2:WELLNOW
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127
Practice Address - Country:US
Practice Address - Phone:716-608-2038
Practice Address - Fax:716-205-3990
Is Sole Proprietor?:No
Enumeration Date:2012-12-23
Last Update Date:2023-02-13
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Provider Licenses
StateLicense IDTaxonomies
VA0024170533363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily