MEDICARE: RACHEL NIENABER

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1538981113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL NIENABER

Provider Business Mailing Address
First Line	:	131 WESTERN RIDGE DR
Second Line	:
City	:	CLEVES
State	:	OH
Zip	:	45002-1157
Country	:	US
Telephone Number	:	513-426-5475
Fax Number	:

Provider Business Practice Location Address
First Line	:	7567 BRIDGETOWN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-2051
Country	:	US
Telephone Number	:	513-941-4011
Fax Number	:

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

Provider Enumeration Date	:	10/25/2024
Last Update Date	:	10/25/2024

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Directions to “ RACHEL NIENABER ” Practice Location

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