Provider Demographics
NPI:1164584223
Name:RISH, RACHEL WARREN (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:WARREN
Last Name:RISH
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:106 WALKER ST
Mailing Address - Street 2:ACCESS FAMILY HEALTH SERVICES, INC.
Mailing Address - City:HOULKA
Mailing Address - State:MS
Mailing Address - Zip Code:38850-9453
Mailing Address - Country:US
Mailing Address - Phone:662-568-3316
Mailing Address - Fax:662-568-3360
Practice Address - Street 1:106 WALKER ST
Practice Address - Street 2:ACCESS FAMILY HEALTH SERVICES, INC.
Practice Address - City:HOULKA
Practice Address - State:MS
Practice Address - Zip Code:38850-9453
Practice Address - Country:US
Practice Address - Phone:662-568-3316
Practice Address - Fax:662-568-3360
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR692158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08551791Medicaid
MS08551791Medicaid
MSQ40362Medicare UPIN