Healthcare Provider Details

I. General information

NPI: 1538723358
Provider Name (Legal Business Name): RACHEL BURNHAM APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL DARBY APRN

II. Dates (important events)

Enumeration Date: 04/26/2019
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 S MAIN ST
RUTLAND VT
05701-4591
US

IV. Provider business mailing address

78 S MAIN ST
RUTLAND VT
05701-4591
US

V. Phone/Fax

Practice location:
  • Phone: 802-770-5424
  • Fax:
Mailing address:
  • Phone: 802-770-5424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number101-0134312
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: