Healthcare Provider Details

I. General information

NPI: 1861307597
Provider Name (Legal Business Name): RACHEL HOLCOMBE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

301 EAST ST
HEALDSBURG CA
95448-4116
US

IV. Provider business mailing address

4700 EXCHANGE CT STE 110
BOCA RATON FL
33431-4450
US

V. Phone/Fax

Practice location:
  • Phone: 707-433-4239
  • Fax:
Mailing address:
  • Phone: 561-448-9517
  • Fax: 561-989-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11041500
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95039574
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: