Provider Demographics
NPI:1528820248
Name:SANON, RACHEL (LPN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SANON
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 1:81 IRVINGTON PL
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-3900
Mailing Address - Country:US
Mailing Address - Phone:609-838-7087
Mailing Address - Fax:
Practice Address - Street 1:81 IRVINGTON PL
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-3900
Practice Address - Country:US
Practice Address - Phone:609-838-7087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0341900374U00000X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide