MEDICARE: NORALIE PIZARRO RAUDSZUS MSN, APRN, FNP-C

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	363L00000X	Nurse Practitioner	4704264708	MI
2	363L00000X	Nurse Practitioner	APRN002948	NV
3	363LA2200X	Adult Health Nurse Practitioner	95009524	CA
4	363LF0000X	Family Nurse Practitioner	4704264708	MI
5	363LF0000X	Family Nurse Practitioner	APRN002948	NV
6	363LF0000X	Family Nurse Practitioner	95009524	CA
7	363L00000X	Nurse Practitioner	95009524	CA

General Provider Information

NPI Number	:	1548765225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORALIE PIZARRO RAUDSZUS MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	8115 MOHAWK LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-9126
Country	:	US
Telephone Number	:	775-762-2406
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 WILSON TER STE 155
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4032
Country	:	US
Telephone Number	:	818-500-4055
Fax Number	:	818-400-4065

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

Provider Enumeration Date	:	03/26/2018
Last Update Date	:	04/28/2022

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