Nelles, Rachel K

Nelles, Rachel K is an individual health care provider with primary practice located at 1702 University Drive South , Fargo ND 58103-4940. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nelles, Rachel K can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Drive South Fargo ND 58103-4940
Phone: (701) 364-3300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R24684 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP8464 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R24684 North Dakota

Profile Details

NPI number 1073530515
LBN Legal business name Nelles, Rachel K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Oct 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073530515 NPPES
Arizona MEDICAID 116637
Arizona MEDICAID 1462407
Arizona MEDICAID 19636

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