Healthcare Provider Details

I. General information

NPI: 1750683470
Provider Name (Legal Business Name): RACHEL KATHRYN MABER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL KATHRYN BARKER-MABER NP

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 GARDEN ST
SANTA BARBARA CA
93101
US

IV. Provider business mailing address

518 GARDEN ST
SANTA BARBARA CA
93101-1696
US

V. Phone/Fax

Practice location:
  • Phone: 805-963-2445
  • Fax: 805-965-2292
Mailing address:
  • Phone: 805-963-2445
  • Fax: 805-965-2292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP20374
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number4704289579
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP20374
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: