Provider Demographics
NPI:1770877631
Name:KING, RACHEL ANNE (C-NP)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ANNE
Last Name:KING
Suffix:
Gender:F
Credentials:C-NP
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Other - Credentials:
Mailing Address - Street 1:3865 BORDER WAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-1629
Mailing Address - Country:US
Mailing Address - Phone:301-305-6261
Mailing Address - Fax:757-707-1232
Practice Address - Street 1:3352 PRINCESS ANNE RD STE 909
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-2608
Practice Address - Country:US
Practice Address - Phone:757-707-1231
Practice Address - Fax:757-707-1232
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024169307363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily