Provider Demographics
NPI:1184065583
Name:TOBLER, RACHEL (NP-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:TOBLER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 AIRPARK DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2433
Mailing Address - Country:US
Mailing Address - Phone:530-241-1111
Mailing Address - Fax:530-241-1483
Practice Address - Street 1:2901 SAINT LAWRENCE AVE
Practice Address - Street 2:#200
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-2264
Practice Address - Country:US
Practice Address - Phone:610-301-0306
Practice Address - Fax:610-628-9011
Is Sole Proprietor?:No
Enumeration Date:2013-07-13
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00443600363LF0000X
PASP012849363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA388585ZQM0Medicare PIN