MEDICARE: ELIZABETH M RASH 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	2034992	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y8214	OTHER	FL	BC/BS OF FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2034992	OTHER	FL	STATE ID

General Provider Information

NPI Number	:	1275539058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH M RASH ARNP

Provider Business Mailing Address
First Line	:	985 S R 436
Second Line	:
City	:	CASSELBERRY
State	:	FL
Zip	:	32707-5664
Country	:	US
Telephone Number	:	407-831-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	985 STATE ROAD 436
Second Line	:
City	:	CASSELBERRY
State	:	FL
Zip	:	32707-5664
Country	:	US
Telephone Number	:	407-831-5252
Fax Number	:

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

Provider Enumeration Date	:	06/25/2005
Last Update Date	:	03/20/2014

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