Provider Demographics
NPI:1578276689
Name:RAUCHER, BENJAMIN SETH (FNP)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:SETH
Last Name:RAUCHER
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 SHADE TREE PL APT G
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1861
Mailing Address - Country:US
Mailing Address - Phone:443-509-4046
Mailing Address - Fax:
Practice Address - Street 1:4 WEST ROLLING CROSSROADS
Practice Address - Street 2:SUITE 100
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:410-869-0100
Practice Address - Fax:410-601-7317
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR229762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily