Healthcare Provider Details

I. General information

NPI: 1154830883
Provider Name (Legal Business Name): RACHEL COLSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 07/21/2022
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3099 SULLIVANT AVE STE H
COLUMBUS OH
43204-1800
US

IV. Provider business mailing address

3099 SULLIVANT AVE STE H
COLUMBUS OH
43204-1800
US

V. Phone/Fax

Practice location:
  • Phone: 614-371-2303
  • Fax:
Mailing address:
  • Phone: 614-371-2303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.411680
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.026544
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: