Healthcare Provider Details

I. General information

NPI: 1962317396
Provider Name (Legal Business Name): RACHEL HURMENCE NBHWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2926 E BONNIE BRAE AVE
SALT LAKE CITY UT
84124-3015
US

IV. Provider business mailing address

2926 E BONNIE BRAE AVE
SALT LAKE CITY UT
84124-3015
US

V. Phone/Fax

Practice location:
  • Phone: 678-477-4605
  • Fax:
Mailing address:
  • Phone: 678-477-4605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: