Healthcare Provider Details

I. General information

NPI: 1134608664
Provider Name (Legal Business Name): RACHEL STRAIGHT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10460 N 92ND ST STE 200
SCOTTSDALE AZ
85258-4547
US

IV. Provider business mailing address

3717 E MONTECITO AVE
PHOENIX AZ
85018-4005
US

V. Phone/Fax

Practice location:
  • Phone: 855-485-4673
  • Fax:
Mailing address:
  • Phone: 404-786-8016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number293111
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: