Healthcare Provider Details

I. General information

NPI: 1518453836
Provider Name (Legal Business Name): RACHEL GIER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 07/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1456 HUDSON RD
HILLSDALE MI
49242-8314
US

IV. Provider business mailing address

1456 HUDSON RD
HILLSDALE MI
49242-8314
US

V. Phone/Fax

Practice location:
  • Phone: 517-439-0200
  • Fax: 517-439-1050
Mailing address:
  • Phone: 517-439-0200
  • Fax: 517-439-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704274937NSA18823
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: