Individual provider · NPI-1

Rachel Blackwell, NP

Nurse Practitioner · Binghamton, NY

NPI number1376954198
StatusActive
Last updated in NPPESJan 26, 2021

Details

NPI
1376954198
Entity type
Individual (NPI-1)
Name
Rachel Blackwell
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2014
Certification date
Jan 26, 2021
Last updated
Jan 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner5013919NCYes
363LF0000X Nurse Practitioner, Family3389681NY
363L00000X Nurse Practitioner3389681NY

Other names

  • Rachel Laufersweiler (Former Name)

Practice location

169 Riverside Dr
Binghamton, NY 13905-4246

Phone 607-798-5671 · Fax 888-241-1404

Mailing address

5410 Maryland Way
Suite 300
Brentwood, TN 37027-5064

Phone 615-577-6352 · Fax 615-810-8969

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