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General NPI Number Information
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NPI Number | 1255837985
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Entity Type | Individual
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Provider Name | RACHEL A HOUCK
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Gender | Female
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 2315 BEL AIR RD STE C1
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City | FALLSTON
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State | MD
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Zip | 21047-2741
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Country | US
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Telephone | 443-966-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 3421 CONCORD RD
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City | YORK
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State | PA
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Zip | 17402-9001
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Country | US
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Telephone | 717-851-1405
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R204532
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP021964
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License Number State | PA
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