| Doctor Name: | MR. TIMOTHY J. RAUSCH |
| NPI Number: | 1003099847 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | SP009664 |
| Business Practice Address: | 1000 Dutch Ridge Rd Beaver, PA - 150099727 |
| Business Phone Number: | 7247733497 |
| Business Fax Number: | |
| Mailing Address: | 1134 N Boundary Rd, CRANBERRY TWP |
| State: | PA |
| Postal Code: | 160662808 |
| Phone Number: | 7245388650 |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2007 |
| NPI Last Update Date: | 12/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP009664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |