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NPI Code Detail

MEDICARE: MS. RACHEL ASHA KRAUS M.S., R.N., P.N.P.

MEDICARE:  MS. RACHEL ASHA KRAUS  M.S., R.N., P.N.P.
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
1163W00000XRegistered Nurse521820-1NY
2363LP0200XPediatric Nurse Practitioner381706NY
3363LP0200XPediatric Nurse PractitionerF381706NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1161020913OTHERNYOAK ORCHARD CHC TAX ID
2160743209OTHERNYSLEEP CENTER TAX ID
3173477DLOTHERNYPREFERRED CARE

General Provider Information

NPI Number : 1851322176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL ASHA KRAUS M.S., R.N., P.N.P.
Provider Business Mailing Address
First Line : 82 HOLLAND ST
Second Line : ANTHONY JORDAN HEALTH CENTER
City : ROCHESTER
State : NY
Zip : 14605-2131
Country : US
Telephone Number : 585-423-5800
Fax Number : 585-423-5862
Provider Business Practice Location Address
First Line : 82 HOLLAND ST
Second Line : ANTHONY JORDAN HEALTH CENTER
City : ROCHESTER
State : NY
Zip : 14605-2131
Country : US
Telephone Number : 585-423-5800
Fax Number : 585-423-5862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/05/2023

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