Provider Demographics
NPI:1417496696
Name:NAHRWOLD, RACHEL (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:NAHRWOLD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 82ND ST
Mailing Address - Street 2:APT. 5H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2264
Mailing Address - Country:US
Mailing Address - Phone:804-726-0212
Mailing Address - Fax:
Practice Address - Street 1:1850 82ND ST
Practice Address - Street 2:APT. 5H
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2264
Practice Address - Country:US
Practice Address - Phone:804-726-0212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY717948163W00000X
NY308604363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse