MEDICARE: RACHEL EAGER APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	235277	AZ

General Provider Information

NPI Number	:	1962093260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL EAGER APRN

Provider Business Mailing Address
First Line	:	633 E RAY RD STE 104
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4202
Country	:	US
Telephone Number	:	602-975-2330
Fax Number	:	602-654-2962

Provider Business Practice Location Address
First Line	:	633 E RAY RD STE 102
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4202
Country	:	US
Telephone Number	:	602-975-2330
Fax Number	:	602-654-2962

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

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	03/12/2026

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Directions to “ RACHEL EAGER APRN” Practice Location

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