Healthcare Provider Details

I. General information

NPI: 1851654396
Provider Name (Legal Business Name): RACHEL HONEYCUTT CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 LAKE DR STE 201
RALEIGH NC
27607-6689
US

IV. Provider business mailing address

PO BOX 18563
RALEIGH NC
27619-8563
US

V. Phone/Fax

Practice location:
  • Phone: 919-783-4888
  • Fax: 919-783-4887
Mailing address:
  • Phone: 919-782-1806
  • Fax: 919-782-4756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9231489
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number259424
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: