Provider Demographics
NPI:1740097880
Name:SHOEMAKE, RACHAEL MARIAH (RN)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MARIAH
Last Name:SHOEMAKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10315 PROFESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4802
Mailing Address - Country:US
Mailing Address - Phone:775-982-5860
Mailing Address - Fax:
Practice Address - Street 1:10315 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-4802
Practice Address - Country:US
Practice Address - Phone:775-982-5860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV869036163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health