Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 182514 | AK |
NPI | 1023544764 |
---|---|
Provider Name | Rachel Rich |
First Address | Anchorage, AK 99508-5200 |
Second Address | Anchorage, AK 99508-5200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2017 |
Last Update Date | 01/10/2021 |