Provider Demographics
NPI:1447405873
Name:FAUCHER, RACHELLE P (RN)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:P
Last Name:FAUCHER
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 1:733 WINDSTOR ROAD
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-2327
Mailing Address - Country:US
Mailing Address - Phone:516-410-4051
Mailing Address - Fax:
Practice Address - Street 1:733 WINDSTOR ROAD
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-2327
Practice Address - Country:US
Practice Address - Phone:516-410-4051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY607210163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse