Provider Demographics
NPI:1245983634
Name:CARLSON, RACHEL L (RN-SRNA)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:L
Last Name:CARLSON
Suffix:
Gender:F
Credentials:RN-SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 EDGE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227
Mailing Address - Country:US
Mailing Address - Phone:570-439-4777
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF PITTSBURGH SCHOOL OF NURSING NURSE ANESTH
Practice Address - Street 2:VB 360A, 3500 VICTORIA STREET
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15261
Practice Address - Country:US
Practice Address - Phone:888-747-0794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN720116163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse