Provider Demographics
NPI:1427526730
Name:RAUSCH, ANDREA ELIZABETH (REGISTERED NURSE)
Entity type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:ELIZABETH
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-6424
Mailing Address - Country:US
Mailing Address - Phone:507-459-4567
Mailing Address - Fax:
Practice Address - Street 1:2913 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-6424
Practice Address - Country:US
Practice Address - Phone:507-459-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI195231-30163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency