Individual
DR. MARSHA KIDDER RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P., PHD.
Contact information
Practice address
2000 PREVATT ST, SUITE B3, EUSTIS, FL 32726-6149
(407) 869-1450
(407) 574-4625
Mailing address
1450 WEST LAKE BRANTLEY ROAD, LONGWOOD, FL 32779-4766
(407) 869-1450
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP518912
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP518912
FL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
ARNP518912
FL
Other
Enumeration date
02/08/2006
Last updated
03/18/2014
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