MEDICARE: RACHAEL WHITFIELD CNM

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	176B00000X	Midwife	MW010220	PA
2	176B00000X	Midwife	001323	NY

General Provider Information

NPI Number	:	1205074770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL WHITFIELD CNM

Provider Business Mailing Address
First Line	:	29 N DECATUR ST
Second Line	:
City	:	STRASBURG
State	:	PA
Zip	:	17579-1417
Country	:	US
Telephone Number	:	717-687-7652
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 N DECATUR ST
Second Line	:
City	:	STRASBURG
State	:	PA
Zip	:	17579-1417
Country	:	US
Telephone Number	:	717-687-7652
Fax Number	:

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

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	08/24/2021

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