Provider Demographics
NPI:1114538717
Name:RAUSCH, JUDITH MICHELE (APNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:MICHELE
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:APNP, FNP-C
Other - Prefix:MISS
Other - First Name:JUDITH
Other - Middle Name:MICHELE
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1919 21ST ST S
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-6544
Mailing Address - Country:US
Mailing Address - Phone:608-799-9894
Mailing Address - Fax:
Practice Address - Street 1:4000 STATE ROAD 16
Practice Address - Street 2:VALLEY VIEW MALL ANNEX
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-1809
Practice Address - Country:US
Practice Address - Phone:608-784-3886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10246-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily