Provider Demographics
NPI:1386238608
Name:CRAFTON, RACHEL LEE (RN, BSN, CCRN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEE
Last Name:CRAFTON
Suffix:
Gender:F
Credentials:RN, BSN, CCRN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LEE
Other - Last Name:WOOLLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, CCRN
Mailing Address - Street 1:304 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-3725
Mailing Address - Country:US
Mailing Address - Phone:502-619-2101
Mailing Address - Fax:
Practice Address - Street 1:3626 GRANT LINE RD STE 105
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2399
Practice Address - Country:US
Practice Address - Phone:270-234-1488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28264660A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse