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NPI Code Detail

MEDICARE: KAYLA GRACE RAUSCH FNP

MEDICARE: KAYLA GRACE RAUSCH FNP
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
1363LF0000XFamily Nurse PractitionerAP10306AZ

General Provider Information

NPI Number : 1790206688
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA GRACE RAUSCH FNP
Provider Business Mailing Address
First Line : 8800 N 22ND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-4258
Country : US
Telephone Number : 602-279-5262
Fax Number : 602-279-5361
Provider Business Practice Location Address
First Line : 8800 N 22ND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-4258
Country : US
Telephone Number : 602-279-5262
Fax Number : 602-279-5361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2017
Last Update Date : 12/08/2025

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Directions to “ KAYLA GRACE RAUSCH FNP” Practice Location

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