DR. MARSHA KIDDER RAUCH A.R.N.P. PHD. NPI 1164495396

NPI Information

NPI: 1164495396
Provider Name: DR. MARSHA KIDDER RAUCH, A.R.N.P., PHD.
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
2000 PREVATT ST
SUITE B3
EUSTIS, FL
ZIP 32726
Phone: (407) 869-1450
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DR. Marsha Kidder Rauch, A.R.N.P., PHD. is a gerontology nurse practitioner in Eustis, FL. DR. Marsha Kidder Rauch, A.R.N.P., PHD. NPI is 1164495396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2000 PREVATT ST
SUITE B3
EUSTIS, FL
ZIP 32726-149
Phone: (407) 869-1450
Fax: (407) 574-4625

The enumeration date for this NPI number is 2/8/2006 and was last updated on 3/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	ARNP518912	FLORIDA	No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	ARNP518912	FLORIDA	No
3	363LG0600X	Nurse Practitioner	Gerontology	ARNP518912	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E5442	MEDICARE PIN	FLORIDA
2	P30499	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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