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NPI Code Detail

MEDICARE: RACHEL NELSON RN

MEDICARE: RACHEL NELSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse130574CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104953504
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL NELSON RN
Provider Business Mailing Address
First Line : 1000 SOMERLY LN
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-6908
Country : US
Telephone Number : 970-691-5174
Fax Number :
Provider Business Practice Location Address
First Line : 1525 BLUE SPRUCE DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-2004
Country : US
Telephone Number : 970-217-8851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 01/28/2016

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