Provider Demographics
NPI:1912917790
Name:SIZEMORE, RACHEL S (MSN, CNM)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:S
Last Name:SIZEMORE
Suffix:
Gender:F
Credentials:MSN, CNM
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:S
Other - Last Name:CONING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:83 W MILLER ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2031
Mailing Address - Country:US
Mailing Address - Phone:321-841-5281
Mailing Address - Fax:407-648-9879
Practice Address - Street 1:83 W MILLER ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2031
Practice Address - Country:US
Practice Address - Phone:321-841-5281
Practice Address - Fax:407-648-9879
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028025367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1063482OtherWORKERS COMP NUMBER
OH2057876Medicaid
OH2057876Medicaid
OHP05977Medicare UPIN