MEDICARE: NANCY MARIE RAHE ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A108489	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00634369	OTHER	IA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396824918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY MARIE RAHE ARNP

Provider Business Mailing Address
First Line	:	2346 MORMON TREK BLVD
Second Line	:	STE 1500
City	:	IOWA CITY
State	:	IA
Zip	:	52246-4371
Country	:	US
Telephone Number	:	319-337-7642
Fax Number	:	319-339-1449

Provider Business Practice Location Address
First Line	:	3 LIONS DR
Second Line	:
City	:	NORTH LIBERTY
State	:	IA
Zip	:	52317-9575
Country	:	US
Telephone Number	:	319-467-5050
Fax Number	:	319-467-7130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	08/31/2016

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