Provider Demographics
NPI:1598352759
Name:HUGILL, RACHAEL MAE (RN)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:MAE
Last Name:HUGILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:MAE
Other - Last Name:FRAELICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2324 SPRINGLAKE RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685
Mailing Address - Country:US
Mailing Address - Phone:330-858-4975
Mailing Address - Fax:
Practice Address - Street 1:3 N CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:MOGADORE
Practice Address - State:OH
Practice Address - Zip Code:44260-1365
Practice Address - Country:US
Practice Address - Phone:330-858-4975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401623163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse