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General NPI Number Information
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NPI Number | 1881405736
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Entity Type | Individual
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Provider Name | RACHEL MAUK
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Gender | Female
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 336 DEERFIELD RD
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City | BOONE
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State | NC
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Zip | 28607-5008
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Country | US
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Telephone | 828-262-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 412 BELMONT DR
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City | BRISTOL
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State | TN
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Zip | 37620-4928
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Country | US
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Telephone | 863-614-7840
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 267054
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License Number State | TN
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