Provider Demographics
NPI:1457032450
Name:AUSTIN, RACHEL ROSE (ARNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ROSE
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6802 W RIO GRANDE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7684
Mailing Address - Country:US
Mailing Address - Phone:509-572-2201
Mailing Address - Fax:509-783-8844
Practice Address - Street 1:6802 W RIO GRANDE AVE STE 1
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7684
Practice Address - Country:US
Practice Address - Phone:509-572-2201
Practice Address - Fax:509-783-8844
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60850977163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care