Provider Demographics
NPI:1477958015
Name:STEIN, RACHEL LYNN (FNP-C, RNFA, CNOR)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:STEIN
Suffix:
Gender:F
Credentials:FNP-C, RNFA, CNOR
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LYNN
Other - Last Name:GIRAUDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RACHEL GIRAUDIN
Mailing Address - Street 1:8711 VILLAGE DR STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5419
Mailing Address - Country:US
Mailing Address - Phone:210-212-6202
Mailing Address - Fax:210-212-6356
Practice Address - Street 1:311 CAMDEN ST STE 501
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215
Practice Address - Country:US
Practice Address - Phone:210-212-6202
Practice Address - Fax:210-212-6356
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX768779163WR0006X
TXAP134287363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP134287OtherAPRN LICENSE NUMBER
TX768779OtherRN LICENSE