Healthcare Provider Details

I. General information

NPI: 1700336054
Provider Name (Legal Business Name): MARY RATHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 12/01/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BEAVERDAM RD
ASHEVILLE NC
28804-1806
US

IV. Provider business mailing address

ACCORDIUS ASHEVILLE 500 BEAVERDAM RD.
ASHEVILLE NC
28804-2237
US

V. Phone/Fax

Practice location:
  • Phone: 828-440-0143
  • Fax:
Mailing address:
  • Phone: 828-254-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5008998
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number205768
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: