Healthcare Provider Details

I. General information

NPI: 1033024831
Provider Name (Legal Business Name): RACHAEL ALEXANDER LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

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

620 KINGS CT
UKIAH CA
95482-5024
US

IV. Provider business mailing address

620 KINGS CT
UKIAH CA
95482-5024
US

V. Phone/Fax

Practice location:
  • Phone: 707-468-7778
  • Fax:
Mailing address:
  • Phone: 707-468-7778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number291078
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: