Provider Demographics
NPI:1982841466
Name:HAUSLADEN, RACHEL SUNTHEIMER (CRNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:SUNTHEIMER
Last Name:HAUSLADEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SUNTHEIMER (MAIDEN NAME)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 S. GREENE STREET
Mailing Address - Street 2:GUDELSKY 7TH FLOOR EAST/WEST
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:215-662-3487
Mailing Address - Fax:
Practice Address - Street 1:22 S. GREENE STREET
Practice Address - Street 2:GUDELSKY 7TH FLOOR EAST/WEST
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-7221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010134363LA2100X
MDR206627363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care