Provider Demographics
NPI:1518759158
Name:DRESSER, RACHEL (LPN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:DRESSER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:FORT EDWARD
Mailing Address - State:NY
Mailing Address - Zip Code:12828-1805
Mailing Address - Country:US
Mailing Address - Phone:518-615-3646
Mailing Address - Fax:518-615-3646
Practice Address - Street 1:38 CENTER ST
Practice Address - Street 2:
Practice Address - City:FORT EDWARD
Practice Address - State:NY
Practice Address - Zip Code:12828-1805
Practice Address - Country:US
Practice Address - Phone:518-615-3646
Practice Address - Fax:518-615-3646
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306717164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse