Healthcare Provider Details

I. General information

NPI: 1629428594
Provider Name (Legal Business Name): RACHEL MICHELE PEARCE DNP FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL MICHELE BATTLES

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 N MAIN AVENUE
WARROAD MN
56763-2342
US

IV. Provider business mailing address

2401 DEMERS AVE
GRAND FORKS ND
58201-4183
US

V. Phone/Fax

Practice location:
  • Phone: 218-386-2020
  • Fax: 218-386-3341
Mailing address:
  • Phone: 701-780-1891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP 4575
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: