Healthcare Provider Details

I. General information

NPI: 1992765937
Provider Name (Legal Business Name): RACHEL ANN HENKEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MISS RACHEL ANN GUETSCH

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 MILWAUKEE ST
KIEL WI
53042
US

IV. Provider business mailing address

716 MILWAUKEE ST
KIEL WI
53042
US

V. Phone/Fax

Practice location:
  • Phone: 920-894-1928
  • Fax:
Mailing address:
  • Phone: 920-894-1928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: