=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174431563
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL WOLKEN RN/BSN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2026
-----------------------------------------------------
Last Update Date | 08/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 E. MERLE HIBBS BLVD
-----------------------------------------------------
City | MARSHALLTOWN
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 641-754-6711
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2920 UNDERWOOD AVE
-----------------------------------------------------
City | GILMAN
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50106-9485
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 641-751-1166
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
License Number | 125589
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------