Healthcare Provider Details

I. General information

NPI: 1083852263
Provider Name (Legal Business Name): RACHEL E. FORTES N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL STERN N.P.

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ROSEBROOK WAY
WAREHAM MA
02571-1138
US

IV. Provider business mailing address

200 MILL ROAD, SUITE 180 SOUTHCOAST PHYSICIANS GROUP, INC.
FAIRHAVEN MA
02719-5252
US

V. Phone/Fax

Practice location:
  • Phone: 508-273-4900
  • Fax: 508-273-4901
Mailing address:
  • Phone: 508-973-2000
  • Fax: 508-973-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11017572
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN275030
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: