Rachel Blankenship, RN

Individual provider Active NPI Registered Nurse · Elizabeth, WV

NPI 1053023366 · NPPES record last updated Dec 19, 2022

Key facts

NPI
1053023366
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
94584 (WV)
Practice address
69 Maze PLZ
Elizabeth, WV 26143-5127
Phone
(304) 275-5001
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
94584WVMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 94584 WV Yes

Addresses

Primary practice location

69 Maze PLZ
Elizabeth, WV 26143-5127

Mailing address

69 Maze PLZ
Elizabeth, WV 26143-5127
Phone (304) 275-5001

Other providers in Elizabeth, WV

All providers in Elizabeth, WV · Registered Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.