Healthcare Provider Details

I. General information

NPI: 1720806946
Provider Name (Legal Business Name): RACHEL BRICH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 PURCELL ST
BRIGHTON CO
80601-3551
US

IV. Provider business mailing address

1230 KIPLING ST
LAKEWOOD CO
80215-4619
US

V. Phone/Fax

Practice location:
  • Phone: 303-659-9700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.1000186-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: