Provider Demographics
NPI:1407818107
Name:RAUSCH, MARGARET SUE (MSN, RN, PNP-BC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:SUE
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:MSN, RN, PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 MOSLEY FERRY RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-6019
Mailing Address - Country:US
Mailing Address - Phone:615-685-3128
Mailing Address - Fax:
Practice Address - Street 1:111 OTIS SMITH DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8940
Practice Address - Country:US
Practice Address - Phone:931-245-7000
Practice Address - Fax:931-245-7069
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12856363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN33794111Medicaid