Healthcare Provider Details

I. General information

NPI: 1497688253
Provider Name (Legal Business Name): RACHEL EVANS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FENWOOD RD
BOSTON MA
02115-6103
US

IV. Provider business mailing address

162 FAIRMOUNT ST
BOSTON MA
02124-4258
US

V. Phone/Fax

Practice location:
  • Phone: 617-626-9431
  • Fax: 617-626-9705
Mailing address:
  • Phone: 617-216-6196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License NumberRN2293458
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: