MEDICARE: RACHEL MICHELLE NYE DNP, PMHNP-BC,FNP-BC

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	363LF0000X	Family Nurse Practitioner	4704217759	MI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4704217759	MI

General Provider Information

NPI Number	:	1154885184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MICHELLE NYE DNP, PMHNP-BC,FNP-BC

Provider Business Mailing Address
First Line	:	545 COUNTY ROAD HQ
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-8855
Country	:	US
Telephone Number	:	906-273-0072
Fax Number	:	906-273-0559

Provider Business Practice Location Address
First Line	:	545 COUNTY ROAD HQ
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-8855
Country	:	US
Telephone Number	:	906-273-0072
Fax Number	:	906-273-0559

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

Provider Enumeration Date	:	01/23/2019
Last Update Date	:	03/17/2026

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