Healthcare Provider Details

I. General information

NPI: 1043057227
Provider Name (Legal Business Name): RACHELE MARIE CAFAZO CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2024
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3730 RHONE CIR STE 101
ANCHORAGE AK
99508-5054
US

IV. Provider business mailing address

2021 PATTERSON ST
ANCHORAGE AK
99504-2777
US

V. Phone/Fax

Practice location:
  • Phone: 907-561-5152
  • Fax:
Mailing address:
  • Phone: 513-274-7051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number4029233
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number233464
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number1169305
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number232518
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: