Provider Demographics
NPI:1093113169
Name:RAUCH, JOYCE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:RAUCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20219 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:DE
Mailing Address - Zip Code:19960-2600
Mailing Address - Country:US
Mailing Address - Phone:302-841-7197
Mailing Address - Fax:
Practice Address - Street 1:20219 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:DE
Practice Address - Zip Code:19960-2600
Practice Address - Country:US
Practice Address - Phone:302-841-7197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL20001357164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse