1508022732 NPI number — MRS. RACHAEL ANNE ARKWRIGHT LPN

Table of content: MRS. RACHAEL ANNE ARKWRIGHT LPN (NPI 1508022732)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508022732 NPI number — MRS. RACHAEL ANNE ARKWRIGHT LPN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARKWRIGHT
Provider First Name:
RACHAEL
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HESS
Provider Other First Name:
RACHAEL
Provider Other Middle Name:
ANNE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1508022732
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11060 EDINBORO RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC KEAN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16426-2226
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-217-9485
Provider Business Mailing Address Fax Number:
814-217-0584

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4114 SCHAPER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ERIE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16508-3350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-868-0831
Provider Business Practice Location Address Fax Number:
814-868-3566
Provider Enumeration Date:
08/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 164W00000X , with the licence number:  PN278367 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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