Provider Demographics
NPI:1073093258
Name:YAEMSANG, RACHANEE RENEE (DNP, CNM, APRN)
Entity type:Individual
Prefix:DR
First Name:RACHANEE
Middle Name:RENEE
Last Name:YAEMSANG
Suffix:
Gender:F
Credentials:DNP, CNM, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5965 GROVER DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-5406
Mailing Address - Country:US
Mailing Address - Phone:813-380-6546
Mailing Address - Fax:
Practice Address - Street 1:1213 WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4858
Practice Address - Country:US
Practice Address - Phone:719-428-5552
Practice Address - Fax:719-687-9519
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997985-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife