MEDICARE: SARAH ANN RASICH

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	367500000X	Certified Registered Nurse Anesthetist	RN696112	PA

General Provider Information

NPI Number	:	1174205744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ANN RASICH

Provider Business Mailing Address
First Line	:	1330 POWELL ST
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-3353
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 S CEDAR CREST BLVD FL 2
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18103-6202
Country	:	US
Telephone Number	:	610-402-6164
Fax Number	:

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

Provider Enumeration Date	:	08/03/2023
Last Update Date	:	01/27/2026

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