NPI 1013875616

Raven Patricia Michelle Prince, CCMA

Practitioner Contractor Tallahassee, FL

Practice location

Address: 2229 Mandrell CT, Tallahassee, FL 32303-2758
Phone: (352) 995-1562

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1013875616
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2026
Record last updated: 12 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.