MEDICARE: DEBORAH A RAUH RN

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	163W00000X	Registered Nurse	RN154737	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578539110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A RAUH RN

Provider Business Mailing Address
First Line	:	10724 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2529
Country	:	US
Telephone Number	:	513-793-7710
Fax Number	:	513-793-1748

Provider Business Practice Location Address
First Line	:	10724 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2529
Country	:	US
Telephone Number	:	513-793-7710
Fax Number	:	513-793-1748

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	07/08/2007

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