Provider Demographics
NPI:1467086223
Name:NEUSCHATZ, RACHEL KATYA (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:KATYA
Last Name:NEUSCHATZ
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 1:2455 S OPAL ST # 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-4215
Mailing Address - Country:US
Mailing Address - Phone:301-787-0963
Mailing Address - Fax:
Practice Address - Street 1:1510 CHESTER PIKE STE 300
Practice Address - Street 2:
Practice Address - City:EDDYSTONE
Practice Address - State:PA
Practice Address - Zip Code:19022-1378
Practice Address - Country:US
Practice Address - Phone:215-990-1279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN726410163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARN726410OtherPA BOARD OF NURSING