Provider Demographics
NPI:1730703679
Name:FERRARI, RACHEL A (ARNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:FERRARI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 N ORMOND RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-8540
Mailing Address - Country:US
Mailing Address - Phone:208-699-3368
Mailing Address - Fax:
Practice Address - Street 1:1209 N ORMOND RD
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-8540
Practice Address - Country:US
Practice Address - Phone:208-699-3368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-06
Last Update Date:2020-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP1074999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily