Healthcare Provider Details

I. General information

NPI: 1114568714
Provider Name (Legal Business Name): RACHAEL ALEXANDER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 DOBBINS DR
CHAPEL HILL NC
27514-5876
US

IV. Provider business mailing address

619 MASSEY AVE
DURHAM NC
27701-4440
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-7762
  • Fax:
Mailing address:
  • Phone: 443-797-2653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number287142
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: