Provider Demographics
NPI:1669954152
Name:HOUCK, RACHEL ANN (ANP, RN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:HOUCK
Suffix:
Gender:F
Credentials:ANP, RN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:SEITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP, RN
Mailing Address - Street 1:246 KATHY CT
Mailing Address - Street 2:
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-1665
Mailing Address - Country:US
Mailing Address - Phone:407-446-0009
Mailing Address - Fax:
Practice Address - Street 1:1000 MAR WALT DR
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6708
Practice Address - Country:US
Practice Address - Phone:850-863-7607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9312297163W00000X
FL11001544363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse