Healthcare Provider Details
I. General information
NPI: 1316555675
Provider Name (Legal Business Name): RACHELLE MAUREEN RIGOS FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/22/2020
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11 RIVER RIDGE DR
ASHEVILLE NC
28803-1299
US
IV. Provider business mailing address
11 RIVER RIDGE DR
ASHEVILLE NC
28803-1299
US
V. Phone/Fax
- Phone: 828-298-6350
- Fax:
- Phone: 828-298-6350
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 5013598 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 249871 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: