Provider Demographics
NPI:1598138976
Name:BOSWELL, RACHEL (RN,CLC,IBCLC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BOSWELL
Suffix:
Gender:F
Credentials:RN,CLC,IBCLC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LYNNE
Other - Last Name:PARONICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2405
Mailing Address - Country:US
Mailing Address - Phone:508-221-8010
Mailing Address - Fax:
Practice Address - Street 1:12 WINTER ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2405
Practice Address - Country:US
Practice Address - Phone:508-221-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-83397163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant