Provider Demographics
NPI:1134575343
Name:HUEMOELLER, RACHELLE (NP)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:
Last Name:HUEMOELLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:
Other - Last Name:ECHIPARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3225 MCLEOD DR STE 777
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-2257
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:751 S BASCOM AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2604
Practice Address - Country:US
Practice Address - Phone:408-793-2535
Practice Address - Fax:408-885-3552
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA574263163WP2201X
CA95003880363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care