Provider Demographics
NPI:1639604580
Name:PIKE, RACHEL (RN BS)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:PIKE
Suffix:
Gender:F
Credentials:RN BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-1826
Mailing Address - Country:US
Mailing Address - Phone:518-605-4685
Mailing Address - Fax:
Practice Address - Street 1:214 HENRY ST
Practice Address - Street 2:
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-1826
Practice Address - Country:US
Practice Address - Phone:518-605-4685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY622101163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse