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
Mailing address6906 E 83rd St N, Owasso, OK 74055-7290

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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