Healthcare Provider Details

I. General information

NPI: 1427961564
Provider Name (Legal Business Name): RACHEL GREER SERRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 GREEN RUSH LN
ZEELAND MI
49464-8253
US

IV. Provider business mailing address

2431 GREEN RUSH LN
ZEELAND MI
49464-8253
US

V. Phone/Fax

Practice location:
  • Phone: 586-438-0067
  • Fax:
Mailing address:
  • Phone: 586-438-0067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number4704363185
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: