Healthcare Provider Details

I. General information

NPI: 1669206470
Provider Name (Legal Business Name): RACHEL AILEEN ROWLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 12/28/2024
Certification Date: 12/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E UNIVERSITY BLVD
TUCSON AZ
85721-0001
US

IV. Provider business mailing address

931 E 1450 N
OGDEN UT
84404-7753
US

V. Phone/Fax

Practice location:
  • Phone: 520-621-2211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0100X
TaxonomyGastroenterology Registered Nurse
License Number10289958-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: