Provider Demographics
NPI:1063957959
Name:FRANZEN, RAYCHEL A (CLC, CD(DONA))
Entity type:Individual
Prefix:
First Name:RAYCHEL
Middle Name:A
Last Name:FRANZEN
Suffix:
Gender:F
Credentials:CLC, CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 15TH ST
Mailing Address - Street 2:3D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4753
Mailing Address - Country:US
Mailing Address - Phone:360-259-1069
Mailing Address - Fax:
Practice Address - Street 1:117 15TH ST
Practice Address - Street 2:3D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4753
Practice Address - Country:US
Practice Address - Phone:360-259-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-30
Last Update Date:2017-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYALPP-252772174400000X
NY12383374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174400000XOther Service ProvidersSpecialist