Provider Demographics
NPI:1659056497
Name:SIMPSON, RACHEL JEWEL
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:JEWEL
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 S ZIMMERMAN AVE APT B
Mailing Address - Street 2:
Mailing Address - City:VAN WERT
Mailing Address - State:OH
Mailing Address - Zip Code:45891-2187
Mailing Address - Country:US
Mailing Address - Phone:419-771-8546
Mailing Address - Fax:
Practice Address - Street 1:417 S ZIMMERMAN AVE APT B
Practice Address - Street 2:
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891-2187
Practice Address - Country:US
Practice Address - Phone:419-771-8546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant