Provider Demographics
NPI:1144480757
Name:ROTENBERRY, RACHEL E (NP)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:E
Last Name:ROTENBERRY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 GRESHAM DR
Mailing Address - Street 2:SUITE 811
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1901
Mailing Address - Country:US
Mailing Address - Phone:757-623-3845
Mailing Address - Fax:757-623-0547
Practice Address - Street 1:400 GRESHAM DR
Practice Address - Street 2:SUITE 811
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1901
Practice Address - Country:US
Practice Address - Phone:757-623-3845
Practice Address - Fax:757-623-0547
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024166622363L00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner