Provider Demographics
NPI:1861025348
Name:BEAUCHAMP, RACHEL DAY (NP-C)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:DAY
Last Name:BEAUCHAMP
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-277-2225
Mailing Address - Fax:336-277-2231
Practice Address - Street 1:190 KIMEL PARK DR STE 140
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6946
Practice Address - Country:US
Practice Address - Phone:336-277-2225
Practice Address - Fax:336-277-2231
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5012846363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner