Provider Demographics
NPI:1710327200
Name:ROLEN, RACHEL ALENE (RN)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ALENE
Last Name:ROLEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4123 SERENE WAY
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-5208
Mailing Address - Country:US
Mailing Address - Phone:425-312-8264
Mailing Address - Fax:425-742-2545
Practice Address - Street 1:4123 SERENE WAY
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-5208
Practice Address - Country:US
Practice Address - Phone:425-312-8264
Practice Address - Fax:425-742-2545
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60032850163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse