Provider Demographics
NPI:1548765225
Name:RAUDSZUS, NORALIE PIZARRO (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:NORALIE
Middle Name:PIZARRO
Last Name:RAUDSZUS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:NORALIE
Other - Middle Name:MANGLICMOT
Other - Last Name:PIZARRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP
Mailing Address - Street 1:8115 MOHAWK LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-9126
Mailing Address - Country:US
Mailing Address - Phone:775-762-2406
Mailing Address - Fax:
Practice Address - Street 1:1505 WILSON TER STE 155
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4032
Practice Address - Country:US
Practice Address - Phone:818-500-4055
Practice Address - Fax:818-400-4065
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704264708363L00000X, 363LF0000X
NVAPRN002948363L00000X, 363LF0000X
CA95009524363LA2200X, 363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily