Provider Demographics
NPI:1033383401
Name:PRITCHARD, RACHEL RENEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:RENEE
Last Name:PRITCHARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14818 COUNTY ROAD J
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-9520
Mailing Address - Country:US
Mailing Address - Phone:419-270-3582
Mailing Address - Fax:888-501-3380
Practice Address - Street 1:14818 COUNTY ROAD J
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-9520
Practice Address - Country:US
Practice Address - Phone:419-270-3582
Practice Address - Fax:888-501-3380
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.312042163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2571417Medicaid