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Individual
AMY LOIS RAUP
Active
Individual
AMY LOIS RAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022100
PA
363LA2200X
Adult Health Nurse Practitioner
SP022100
PA
363LG0600X
Gerontology Nurse Practitioner
SP022100
PA
Other
Enumeration date
06/23/2020
Last updated
02/22/2021
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