Healthcare Provider Details

I. General information

NPI: 1629787494
Provider Name (Legal Business Name): RACHEL NICOLE BARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 11/21/2022
Certification Date: 11/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 DUBLIN RD STE 100
COLUMBUS OH
43215-1025
US

IV. Provider business mailing address

297 RANDOLPH ST
WILMINGTON OH
45177-2616
US

V. Phone/Fax

Practice location:
  • Phone: 614-488-7117
  • Fax: 614-488-7118
Mailing address:
  • Phone: 937-366-9409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.510374
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: