Provider Demographics
NPI:1891013447
Name:HANDLEY, RACHEL MECHELLE (CPNP-AC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MECHELLE
Last Name:HANDLEY
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 HIDDEN HIGHLANDS DR
Mailing Address - Street 2:
Mailing Address - City:WARRIOR
Mailing Address - State:AL
Mailing Address - Zip Code:35180-4175
Mailing Address - Country:US
Mailing Address - Phone:205-907-4207
Mailing Address - Fax:
Practice Address - Street 1:33 HIDDEN HIGHLANDS DR
Practice Address - Street 2:
Practice Address - City:WARRIOR
Practice Address - State:AL
Practice Address - Zip Code:35180-4175
Practice Address - Country:US
Practice Address - Phone:205-907-4207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20090640363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care