Rachel Nicole Tretiakow, LVN
Licensed Vocational Nurse in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1073061990
StatusActive
Last updated in NPPESSep 20, 2016
Details
- NPI
- 1073061990
- Entity type
- Individual (NPI-1)
- Name
- Rachel Nicole Tretiakow
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2016
- Last updated
- Sep 20, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 685500 | CA | Yes |
Practice location
3333 Chanate RdSanta Rosa, CA 95404-1707
Phone 707-565-5718
Mailing address
3333 Chanate RdSanta Rosa, CA 95404-1707
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 66 Licensed Vocational Nurse providers in Santa Rosa · All 8,142 providers in Santa Rosa
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