Provider Demographics
NPI:1477284131
Name:FARRELL, RACHEL LYNN (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:FARRELL
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:OWEN VALLEY HEALTH CAMPUS
Mailing Address - Street 2:920 STATE RD 46
Mailing Address - City:SPENCER
Mailing Address - State:IN
Mailing Address - Zip Code:47460
Mailing Address - Country:US
Mailing Address - Phone:812-652-2109
Mailing Address - Fax:812-829-2668
Practice Address - Street 1:920 W STATE HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IN
Practice Address - Zip Code:47460-6749
Practice Address - Country:US
Practice Address - Phone:812-652-2109
Practice Address - Fax:812-829-2668
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28231226A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse