Individual
CARLY L RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
148 MAIN ST, WINTERSVILLE, OH 43953-3734
(740) 346-2702
(740) 346-2645
Mailing address
148 MAIN ST, WINTERSVILLE, OH 43953-3734
(740) 346-2702
(740) 346-2645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024610
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0379457
—
OH
Enumeration date
11/18/2019
Last updated
12/02/2019
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