Individual
DANIEL JOHN RAUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1381
(812) 275-1299
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
COA 14165 NP
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
71005772A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085322
—
OH
01
—
090540824
MEDICARE
IN
05
—
300001770
—
IN
Enumeration date
11/05/2012
Last updated
09/06/2024
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