Healthcare Provider Details

I. General information

NPI: 1548187933
Provider Name (Legal Business Name): CARMEN RAWISZER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

V. Phone/Fax

Practice location:
  • Phone: 423-760-9598
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number0000145164
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: