Provider Demographics
NPI:1083493407
Name:ACOB-RAU, NORMA
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:ACOB-RAU
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 1:7 S 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3318
Mailing Address - Country:US
Mailing Address - Phone:509-575-5093
Mailing Address - Fax:509-575-5032
Practice Address - Street 1:7 S 10TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3318
Practice Address - Country:US
Practice Address - Phone:509-575-5093
Practice Address - Fax:509-575-5032
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00107130163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse