Individual provider · Type 1 NPI

Marsha Kidder Rauch, A.R.N.P., PHD.

Gerontology Nurse Practitioner · Eustis, FL

NPI number 1164495396 Active

Practice location

2000 Prevatt St, Suite B3
Eustis, FL 32726-6149

Fax (407) 574-4625

Mailing address

1450 West Lake Brantley Road
Longwood, FL 32779-4766

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XARNP518912 (FL)
Gerontology Nurse Practitioner Primary 363LG0600XARNP518912 (FL)
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808XARNP518912 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1164495396

Marsha Kidder Rauch, A.R.N.P., PHD.'s National Provider Identifier is 1164495396, issued on Feb 8, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Eustis, FL. The record was last updated on Mar 18, 2014.