Provider Demographics
NPI:1386971158
Name:WILSON, RACHEL M (CBE,CD (CBI))
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:M
Last Name:WILSON
Suffix:
Gender:F
Credentials:CBE,CD (CBI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-3012
Mailing Address - Country:US
Mailing Address - Phone:860-961-5349
Mailing Address - Fax:
Practice Address - Street 1:40 CURTIS ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-3012
Practice Address - Country:US
Practice Address - Phone:860-961-5349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-15
Last Update Date:2009-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula