Individual
MS. NICOLE J RAUSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3805 E BELL RD STE 3100, PHOENIX, AZ 85032-2136
(602) 867-8644
(602) 606-5128
Mailing address
3805 E BELL RD STE 3100, PHOENIX, AZ 85032-2136
(602) 494-3656
(602) 867-3862
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP7761
AZ
363LA2100X
Acute Care Nurse Practitioner
RN128788
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071193
—
AZ
01
—
Z223858
MEDICARE
AZ
Enumeration date
04/29/2015
Last updated
04/23/2019
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