Provider Demographics
NPI:1427313691
Name:LOCHEN, RACHEL E (NP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:LOCHEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:E
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1111 DELAFIELD ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-3417
Mailing Address - Country:US
Mailing Address - Phone:262-544-8622
Mailing Address - Fax:262-544-8630
Practice Address - Street 1:1111 DELAFIELD ST
Practice Address - Street 2:SUITE 212
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3417
Practice Address - Country:US
Practice Address - Phone:262-544-8622
Practice Address - Fax:262-544-8630
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI146114363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1427313691Medicaid