Healthcare Provider Details

I. General information

NPI: 1619807146
Provider Name (Legal Business Name): RACHAEL ROBINSON
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 MIDDLE SCHOOL DR
OSCEOLA WI
54020-2202
US

IV. Provider business mailing address

2512 30TH AVE
OSCEOLA WI
54020-5929
US

V. Phone/Fax

Practice location:
  • Phone: 715-294-4140
  • Fax:
Mailing address:
  • Phone: 715-294-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number128055-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: