Provider Demographics
NPI:1023763471
Name:REDMAN, RACHEL E (CNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:REDMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9296 KINGSLEY DR
Mailing Address - Street 2:
Mailing Address - City:ONSTED
Mailing Address - State:MI
Mailing Address - Zip Code:49265-9420
Mailing Address - Country:US
Mailing Address - Phone:517-366-1796
Mailing Address - Fax:
Practice Address - Street 1:142 E MAUMEE ST STE 1
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-2735
Practice Address - Country:US
Practice Address - Phone:517-291-8729
Practice Address - Fax:517-235-5747
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704301714363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner