Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Dwayne Raleigh, NP

Individual provider Nurse Practitioner · NPI 1336333442

Gary Dwayne Raleigh, NP is a Nurse Practitioner in Broken Arrow, Oklahoma. Qualified in 2007, 19 years ago. Practices with Northeastern Health System, a 104-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
19
Licensed in
OK
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

503 S Aspen
Broken Arrow, OK 74012
Phone: (918) 331-9184
Fax: (918) 331-9187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 60070 (OK)

Record details

NPI number1336333442
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 31, 2007
Last updated in NPPESAugust 3, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Northeastern Health System — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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