Healthcare Provider Details

I. General information

NPI: 1447465679
Provider Name (Legal Business Name): RACHEL KWARTENG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1174 MASTERS DR
CRANDALL TX
75114-4407
US

IV. Provider business mailing address

1174 MASTERS DR
CRANDALL TX
75114-4407
US

V. Phone/Fax

Practice location:
  • Phone: 972-472-8335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number509920
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number509920
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: