Healthcare Provider Details

I. General information

NPI: 1518849637
Provider Name (Legal Business Name): RACHEL MARIE ESPANTO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 SE KLAH CHE MIN DR
SHELTON WA
98584-9216
US

IV. Provider business mailing address

5 TWIN OAKS LN
ELMA WA
98541-9150
US

V. Phone/Fax

Practice location:
  • Phone: 360-427-9006
  • Fax: 360-427-1951
Mailing address:
  • Phone: 360-470-2676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN61107790
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61107790
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: