Provider Demographics
NPI:1588228027
Name:KALENKIEWICZ, RACHEL NICOLE (DNP, CRNA, ARNP)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:NICOLE
Last Name:KALENKIEWICZ
Suffix:
Gender:F
Credentials:DNP, CRNA, ARNP
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:NICOLE
Other - Last Name:WESTERNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, CRNA, ARNP
Mailing Address - Street 1:3001 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-7401
Mailing Address - Country:US
Mailing Address - Phone:202-420-8071
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:800-777-8442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAD163778367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered