Provider Demographics
NPI:1235714726
Name:BAGGETT, RACHEL ANNE (RN, BSN, IBCLC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:BAGGETT
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11296 TROY RD
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:OH
Mailing Address - Zip Code:45344-9062
Mailing Address - Country:US
Mailing Address - Phone:937-902-0541
Mailing Address - Fax:
Practice Address - Street 1:110 S STANFIELD RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-3098
Practice Address - Country:US
Practice Address - Phone:937-902-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH305424163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant