Provider Demographics
NPI:1508509407
Name:ARTIN, RAHEL
Entity Type:Individual
Prefix:
First Name:RAHEL
Middle Name:
Last Name:ARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 LANGDON FARM CIR
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2677
Mailing Address - Country:US
Mailing Address - Phone:202-731-2399
Mailing Address - Fax:
Practice Address - Street 1:157 LANGDON FARM CIR
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-2677
Practice Address - Country:US
Practice Address - Phone:202-731-2399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR202734163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse