Healthcare Provider Details

I. General information

NPI: 1154069458
Provider Name (Legal Business Name): RACHEL WHITNEY NESTOR FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2455 UNION LAKE RD STE 102
COMMERCE TOWNSHIP MI
48382-3596
US

IV. Provider business mailing address

43411 GARFIELD RD STE B
CLINTON TOWNSHIP MI
48038-1152
US

V. Phone/Fax

Practice location:
  • Phone: 248-360-6000
  • Fax: 248-360-6040
Mailing address:
  • Phone: 248-360-6000
  • Fax: 248-360-6040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704337825
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: