Kristen Rau, FNP | |
350 W Mclellan Rd Unit 4, Mesa, AZ 85201-2262 | |
(480) 282-7187 | |
Not Available |
Full Name | Kristen Rau |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 350 W Mclellan Rd Unit 4, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154077618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 265811 (Arizona) | Primary |
Entity Name | Molina Care Connections Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20211228001221 |
Mailing Address | Practice Location Address |
---|---|
Kristen Rau, FNP 1451 George Washington Memorial Hwy Unit 554, Gloucester Point, VA 23062-2747 Ph: (480) 282-7187 | Kristen Rau, FNP 350 W Mclellan Rd Unit 4, Mesa, AZ 85201-2262 Ph: (480) 282-7187 |
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