Provider Demographics
NPI:1013660117
Name:MANKARIOS, RACHEL ANN (NP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:MANKARIOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:460 WILLIAM HILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2497
Mailing Address - Country:US
Mailing Address - Phone:843-738-4800
Mailing Address - Fax:843-738-4801
Practice Address - Street 1:720 ESKENAZI AVENUE
Practice Address - Street 2:FIFTH THIRD BANK BUILDING, 1ST FLOOR
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5166
Practice Address - Country:US
Practice Address - Phone:317-880-6559
Practice Address - Fax:317-880-0411
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-28
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25677363L00000X
IN71013728A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner