Provider Demographics
NPI:1700087293
Name:GOERING, RACHELLE (FNP)
Entity Type:Individual
Prefix:MS
First Name:RACHELLE
Middle Name:
Last Name:GOERING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 BEARD RD 3
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3466
Mailing Address - Country:US
Mailing Address - Phone:707-255-4172
Mailing Address - Fax:888-315-3813
Practice Address - Street 1:125B CAMINO ALTO
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-4601
Practice Address - Country:US
Practice Address - Phone:415-383-9903
Practice Address - Fax:415-383-9901
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA525495363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily