Provider Demographics
NPI:1437744380
Name:CROWNOBLE, RACHEL (CPM, LM)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CROWNOBLE
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7540 E LONG LOOK DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-5506
Mailing Address - Country:US
Mailing Address - Phone:714-312-9101
Mailing Address - Fax:
Practice Address - Street 1:7598 E PALO VERDE ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-3255
Practice Address - Country:US
Practice Address - Phone:928-351-4664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife