Provider Demographics
NPI:1225783566
Name:HUSTON, RACHEL LEN (CNM)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEN
Last Name:HUSTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13441 S HIGHWAY 13
Mailing Address - Street 2:
Mailing Address - City:HIGGINSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64037-8120
Mailing Address - Country:US
Mailing Address - Phone:660-358-2012
Mailing Address - Fax:
Practice Address - Street 1:13441 S HIGHWAY 13
Practice Address - Street 2:
Practice Address - City:HIGGINSVILLE
Practice Address - State:MO
Practice Address - Zip Code:64037-8120
Practice Address - Country:US
Practice Address - Phone:660-358-2012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-15
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCNM3223176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife