Provider Demographics
NPI:1932748811
Name:FOXX, RACHEL M (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:FOXX
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 BARRETT ST
Mailing Address - Street 2:
Mailing Address - City:S BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6328
Mailing Address - Country:US
Mailing Address - Phone:802-399-6475
Mailing Address - Fax:
Practice Address - Street 1:37 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:ESSEX JCT
Practice Address - State:VT
Practice Address - Zip Code:05452-3152
Practice Address - Country:US
Practice Address - Phone:802-399-6475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-25
Last Update Date:2019-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0037836163WL0100X
VTL-14104163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant