Provider Demographics
NPI:1871024711
Name:EFFERTZ, RACHEL MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:EFFERTZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:M
Other - Last Name:PADDOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17525 MEDICAL CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-1824
Mailing Address - Country:US
Mailing Address - Phone:816-994-3150
Mailing Address - Fax:816-359-3044
Practice Address - Street 1:17525 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-1824
Practice Address - Country:US
Practice Address - Phone:816-994-3150
Practice Address - Fax:816-359-3044
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77600-082363LF0000X
MO2017003584363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily