Provider Demographics
NPI:1629451091
Name:BUCK, RACHEL R (FNP-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:R
Last Name:BUCK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36053 US HIGHWAY 287 STE 208
Mailing Address - Street 2:
Mailing Address - City:WILEY
Mailing Address - State:CO
Mailing Address - Zip Code:81092-9702
Mailing Address - Country:US
Mailing Address - Phone:719-829-4030
Mailing Address - Fax:
Practice Address - Street 1:36053 US HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:WILEY
Practice Address - State:CO
Practice Address - Zip Code:81092-9702
Practice Address - Country:US
Practice Address - Phone:719-829-4030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-03
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0991747-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily