Youngblood, Rachael Elizabeth

Youngblood, Rachael Elizabeth is an individual health care provider with primary practice located at 2005 Technology Pkwy Suite 440, Mechanicsburg PA 17050-9413. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Youngblood, Rachael Elizabeth can be contacted via phone (717) 791-2540.

Contact Information

Primary practice address
2005 Technology Pkwy Suite 440 Mechanicsburg PA 17050-9413
Phone: (717) 791-2540
Fax: (717) 791-2549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP010606 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP010606 Pennsylvania

Profile Details

NPI number 1205166121
LBN Legal business name Youngblood, Rachael Elizabeth
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2009
Last updated Mar 29th, 2017 - about 7 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 1205166121 NPPES
Pennsylvania MEDICAID 103010353

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