Provider Demographics
NPI:1144343203
Name:RAUTER, GRETCHEN ELIZABETH (APN)
Entity type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:ELIZABETH
Last Name:RAUTER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 WESTERLY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8594
Mailing Address - Country:US
Mailing Address - Phone:615-791-7747
Mailing Address - Fax:
Practice Address - Street 1:2067 UPLAND DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4090
Practice Address - Country:US
Practice Address - Phone:615-794-1814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7452363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00431699OtherPALMETTO GBA
TN3341099Medicaid
3341099Medicare PIN