Healthcare Provider Details

I. General information

NPI: 1487343745
Provider Name (Legal Business Name): RACHEL GBUO HORACE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2023
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 ROUTE 38 APT 703
CHERRY HILL NJ
08002-4230
US

IV. Provider business mailing address

2151 ROUTE 38 APT 703
CHERRY HILL NJ
08002-4230
US

V. Phone/Fax

Practice location:
  • Phone: 267-401-5815
  • Fax:
Mailing address:
  • Phone: 267-401-5815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ14903600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number26NR18005000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: