Provider Demographics
NPI:1851322176
Name:KRAUS, RACHEL ASHA (MS, RN, PNP)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ASHA
Last Name:KRAUS
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Gender:F
Credentials:MS, RN, PNP
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Mailing Address - Street 1:82 HOLLAND ST
Mailing Address - Street 2:ANTHONY JORDAN HEALTH CENTER
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-2131
Mailing Address - Country:US
Mailing Address - Phone:585-423-5800
Mailing Address - Fax:585-423-5862
Practice Address - Street 1:82 HOLLAND ST
Practice Address - Street 2:ANTHONY JORDAN HEALTH CENTER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-2131
Practice Address - Country:US
Practice Address - Phone:585-423-5800
Practice Address - Fax:585-423-5862
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-07-05
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Provider Licenses
StateLicense IDTaxonomies
NY521820-1163W00000X
NY381706363LP0200X
NYF381706363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161020913OtherOAK ORCHARD CHC TAX ID
NY160743209OtherSLEEP CENTER TAX ID
NY173477DLOtherPREFERRED CARE