Provider Demographics
NPI:1831429299
Name:WILCOX, RACHEL RIVARD (NP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:RIVARD
Last Name:WILCOX
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANNE
Other - Last Name:RIVARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:22 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-2978
Mailing Address - Country:US
Mailing Address - Phone:207-680-4545
Mailing Address - Fax:207-680-4544
Practice Address - Street 1:22 WHITE ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-2978
Practice Address - Country:US
Practice Address - Phone:207-680-4545
Practice Address - Fax:207-680-4545
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP91066363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics