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NPI Code Detail

MEDICARE: RACHEL RENEE EASTON FNP-BC

MEDICARE: RACHEL RENEE EASTON 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
1363LF0000XFamily Nurse Practitioner4704330197MI

General Provider Information

NPI Number : 1841996394
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL RENEE EASTON FNP-BC
Provider Business Mailing Address
First Line : 2095 E BIG BEAVER RD STE 375
Second Line :
City : TROY
State : MI
Zip : 48083-2374
Country : US
Telephone Number : 248-963-1124
Fax Number : 248-250-9263
Provider Business Practice Location Address
First Line : 2095 E BIG BEAVER RD STE 375
Second Line :
City : TROY
State : MI
Zip : 48083-2374
Country : US
Telephone Number : 248-963-1124
Fax Number : 248-250-9263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2023
Last Update Date : 03/08/2023

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Directions to “ RACHEL RENEE EASTON FNP-BC” Practice Location

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