Individual provider · Type 1 NPI

Susan Thoma Rauckman, ANP-BC

Adult Health Nurse Practitioner · Centreville, IL

NPI number 1669642260 Active

Practice location

6000 Bond Ave
Centreville, IL 62207-2328

Fax (618) 337-6039

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X277001773 (IL)
Adult Health Nurse Practitioner Primary 363LA2200X209007010 (IL)

Adult Health Nurse Practitioner: Definition to come...

19 other providers at this address

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About NPI 1669642260

Susan Thoma Rauckman, ANP-BC's National Provider Identifier is 1669642260, issued on Mar 11, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Centreville, IL. The record was last updated on May 21, 2025.