Provider Demographics
NPI:1669261590
Name:CARY, RACHANEE ARIEL (RMA)
Entity type:Individual
Prefix:
First Name:RACHANEE
Middle Name:ARIEL
Last Name:CARY
Suffix:
Gender:
Credentials:RMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 PEAR AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-2527
Mailing Address - Country:US
Mailing Address - Phone:757-234-2770
Mailing Address - Fax:757-310-6738
Practice Address - Street 1:328 PEAR AVE
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-2527
Practice Address - Country:US
Practice Address - Phone:757-234-2770
Practice Address - Fax:757-310-6738
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1401207353376K00000X
VA00310133363747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376K00000XNursing Service Related ProvidersNurse's Aide