Provider Demographics
NPI:1518849637
Name:ESPANTO, RACHEL MARIE (RN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:ESPANTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 TWIN OAKS LN
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:WA
Mailing Address - Zip Code:98541-9150
Mailing Address - Country:US
Mailing Address - Phone:360-470-2676
Mailing Address - Fax:
Practice Address - Street 1:90 SE KLAH CHE MIN DR
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-9216
Practice Address - Country:US
Practice Address - Phone:360-427-9006
Practice Address - Fax:360-427-1951
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61107790390200000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program