Provider Demographics
NPI:1245510759
Name:RATTERMAN, RACHEL PIERCE (NP-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:PIERCE
Last Name:RATTERMAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 WESTPORT RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40242-3124
Mailing Address - Country:US
Mailing Address - Phone:502-485-8125
Mailing Address - Fax:
Practice Address - Street 1:8800 WESTPORT RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40242-3124
Practice Address - Country:US
Practice Address - Phone:502-485-8125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007013363LF0000X
IN71003656A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily