Provider Demographics
NPI:1285785121
Name:PHILLIPS BARNIDGE, RACHEL (NURSE PRACTRIONER)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:PHILLIPS BARNIDGE
Suffix:
Gender:
Credentials:NURSE PRACTRIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 MARYVILLE UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7299
Mailing Address - Country:US
Mailing Address - Phone:314-529-9520
Mailing Address - Fax:314-529-9906
Practice Address - Street 1:650 MARYVILLE UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7299
Practice Address - Country:US
Practice Address - Phone:314-529-9520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001019033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily