MEDICARE: RACHEL RIVARD WILCOX NP

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	363LP0200X	Pediatric Nurse Practitioner	CNP91066	ME

General Provider Information

NPI Number	:	1831429299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL RIVARD WILCOX NP

Provider Business Mailing Address
First Line	:	22 WHITE ST
Second Line	:
City	:	ROCKLAND
State	:	ME
Zip	:	04841-2978
Country	:	US
Telephone Number	:	207-680-4545
Fax Number	:	207-680-4544

Provider Business Practice Location Address
First Line	:	22 WHITE ST
Second Line	:
City	:	ROCKLAND
State	:	ME
Zip	:	04841-2978
Country	:	US
Telephone Number	:	207-680-4545
Fax Number	:	207-680-4545

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

Provider Enumeration Date	:	01/07/2010
Last Update Date	:	05/13/2025

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