Healthcare Provider Details

I. General information

NPI: 1598288219
Provider Name (Legal Business Name): RACHELLE MOLIERE CNM, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 S BREA BLVD
BREA CA
92821-5310
US

IV. Provider business mailing address

735 S BREA BLVD
BREA CA
92821-5310
US

V. Phone/Fax

Practice location:
  • Phone: 714-948-5655
  • Fax: 657-204-8992
Mailing address:
  • Phone: 714-948-5655
  • Fax: 657-204-8992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW236240
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF1116363
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: