Provider Demographics
NPI:1144660226
Name:SCOTT, RACHEL HALLORAN (FNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:HALLORAN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:214 S. 4TH ST
Mailing Address - City:KREMMLING
Mailing Address - State:CO
Mailing Address - Zip Code:80459
Mailing Address - Country:US
Mailing Address - Phone:970-724-3442
Mailing Address - Fax:980-724-9359
Practice Address - Street 1:214 S. 4TH STREET
Practice Address - Street 2:
Practice Address - City:KREMMLING
Practice Address - State:CO
Practice Address - Zip Code:80459
Practice Address - Country:US
Practice Address - Phone:970-724-3442
Practice Address - Fax:980-724-9359
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO165961363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily