Healthcare Provider Details

I. General information

NPI: 1669877437
Provider Name (Legal Business Name): RACHEL M NEWHOUSE AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL STOWE

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 09/30/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 E SPRING CREEK PKWY SUITE 170
PLANO TX
75024
US

IV. Provider business mailing address

5425 E SPRING CREEK PKWY SUITE 170
PLANO TX
75024
US

V. Phone/Fax

Practice location:
  • Phone: 970-255-1576
  • Fax:
Mailing address:
  • Phone: 970-255-1576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0991585
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPN.0991585-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1105680
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: