Provider Demographics
NPI:1831542760
Name:FEHL, RACHEL E (APN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:FEHL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:E
Other - Last Name:FEHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:319 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:IL
Mailing Address - Zip Code:61523-2059
Mailing Address - Country:US
Mailing Address - Phone:309-673-6464
Mailing Address - Fax:309-274-3120
Practice Address - Street 1:319 N 4TH ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:IL
Practice Address - Zip Code:61523-2059
Practice Address - Country:US
Practice Address - Phone:309-673-6464
Practice Address - Fax:309-274-3120
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209014475363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner