Provider Demographics
NPI:1629428594
Name:PEARCE, RACHEL MICHELE (DNP FNP-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MICHELE
Last Name:PEARCE
Suffix:
Gender:F
Credentials:DNP FNP-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MICHELE
Other - Last Name:BATTLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 DEMERS AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-4183
Mailing Address - Country:US
Mailing Address - Phone:701-780-1891
Mailing Address - Fax:
Practice Address - Street 1:412 N MAIN AVENUE
Practice Address - Street 2:
Practice Address - City:WARROAD
Practice Address - State:MN
Practice Address - Zip Code:56763-2342
Practice Address - Country:US
Practice Address - Phone:218-386-2020
Practice Address - Fax:218-386-3341
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP 4575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily