Provider Demographics
NPI:1689034241
Name:ARNOLD, RACHEL (FNP-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:FUJIMOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11260 OLD SEWARD HWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3098
Mailing Address - Country:US
Mailing Address - Phone:907-433-5100
Mailing Address - Fax:907-433-5110
Practice Address - Street 1:11260 OLD SEWARD HWY
Practice Address - Street 2:SUITE 107
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3098
Practice Address - Country:US
Practice Address - Phone:907-433-5100
Practice Address - Fax:907-433-5110
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK104403163W00000X
WARN60223753163W00000X
AK106119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse