Provider Demographics
NPI:1245646322
Name:SNOWDEN, RACHEL (FNP-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SNOWDEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 SAINT MARYS RD
Mailing Address - Street 2:HEALTH AND WELLNESS CENTER
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94575-2715
Mailing Address - Country:US
Mailing Address - Phone:925-631-4842
Mailing Address - Fax:
Practice Address - Street 1:1928 SAINT MARYS RD
Practice Address - Street 2:HEALTH AND WELLNESS CENTER
Practice Address - City:MORAGA
Practice Address - State:CA
Practice Address - Zip Code:94575
Practice Address - Country:US
Practice Address - Phone:925-631-4842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily