Provider Demographics
NPI:1255363933
Name:TANSEY, RACHEL (CNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:TANSEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 JOURNAL CENTER BLVD NE
Mailing Address - Street 2:URGENT CARE
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-5900
Mailing Address - Country:US
Mailing Address - Phone:505-262-3233
Mailing Address - Fax:505-262-3191
Practice Address - Street 1:5150 JOURNAL CENTER BLVD NE
Practice Address - Street 2:URGENT CARE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-5900
Practice Address - Country:US
Practice Address - Phone:505-262-3233
Practice Address - Fax:505-262-3191
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704220597363LF0000X
NMR58552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4841794Medicaid
MI4846870Medicaid
MIQ65749Medicare UPIN
MI4841794Medicaid