Provider Demographics
NPI:1548681075
Name:LEWIS, RACHEL RAFELIA (FNP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:RAFELIA
Last Name:LEWIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:RAFELIA
Other - Last Name:ANGELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33965 GOLDEN CROWN WAY
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-6965
Mailing Address - Country:US
Mailing Address - Phone:909-583-4716
Mailing Address - Fax:
Practice Address - Street 1:330 ALABAMA ST STE D
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8097
Practice Address - Country:US
Practice Address - Phone:855-901-0911
Practice Address - Fax:909-335-4886
Is Sole Proprietor?:No
Enumeration Date:2013-12-31
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily