Provider Demographics
NPI:1679698740
Name:SURRYHNE, RACHEL LEE (BSN)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:LEE
Last Name:SURRYHNE
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6126 WILD BERRY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142-0609
Mailing Address - Country:US
Mailing Address - Phone:702-204-6506
Mailing Address - Fax:
Practice Address - Street 1:WACH EMERGENCY DEPT
Practice Address - Street 2:BLDG 248A BARSTOW RD
Practice Address - City:F ORT IRWIN
Practice Address - State:CA
Practice Address - Zip Code:92310
Practice Address - Country:US
Practice Address - Phone:760-380-3114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN52474163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency