MEDICARE: RACHEL INGRID HEISIG

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
1	163W00000X	Registered Nurse	R157229	MD

General Provider Information

NPI Number	:	1417894858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL INGRID HEISIG

Provider Business Mailing Address
First Line	:	904 INDIAN CREEK LN
Second Line	:
City	:	CROWNSVILLE
State	:	MD
Zip	:	21032-1002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	904 INDIAN CREEK LN
Second Line	:
City	:	CROWNSVILLE
State	:	MD
Zip	:	21032-1002
Country	:	US
Telephone Number	:	202-664-9667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ RACHEL INGRID HEISIG ” Practice Location

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