Healthcare Provider Details

I. General information

NPI: 1104702901
Provider Name (Legal Business Name): RACHEL ANDREA SAXTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL ANDREA SMITH RN

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 N CENTRAL AVE
AVONDALE AZ
85323-1312
US

IV. Provider business mailing address

3601 W TIERRA BUENA LN UNIT 255
PHOENIX AZ
85053-7636
US

V. Phone/Fax

Practice location:
  • Phone: 623-772-4400
  • Fax: 623-772-4420
Mailing address:
  • Phone: 623-277-8294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2165227
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: