Provider Demographics
NPI:1164083606
Name:FORSYTH, RACHEL ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:FORSYTH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:KAPPLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:195 W 14TH
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-4716
Mailing Address - Country:US
Mailing Address - Phone:970-625-5200
Mailing Address - Fax:970-947-0155
Practice Address - Street 1:2014 BLAKE AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4229
Practice Address - Country:US
Practice Address - Phone:970-945-6614
Practice Address - Fax:970-947-0155
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014096816163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health