MEDICARE: RACHAEL RIVEIRAANDERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN00162959	WA

General Provider Information

NPI Number	:	1023826716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL RIVEIRAANDERSON

Provider Business Mailing Address
First Line	:	4730 197TH PL NE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8734
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4730 197TH PL NE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8734
Country	:	US
Telephone Number	:	425-308-5868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2024
Last Update Date	:	12/26/2024

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Directions to “ RACHAEL RIVEIRAANDERSON ” Practice Location

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