Provider Demographics
NPI:1912564766
Name:ZACCARIA, RACHEL (CNM)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ZACCARIA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 FAHY ST STE 108
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6029
Mailing Address - Country:US
Mailing Address - Phone:207-505-4332
Mailing Address - Fax:207-536-3201
Practice Address - Street 1:16 FAHY ST STE 108
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6029
Practice Address - Country:US
Practice Address - Phone:207-505-4332
Practice Address - Fax:207-536-3201
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNM192005367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife