Provider Demographics
NPI:1588308985
Name:SMITH, RACHEL S (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:S
Last Name:SMITH
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:7816 POINT HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1678
Mailing Address - Country:US
Mailing Address - Phone:571-525-6261
Mailing Address - Fax:
Practice Address - Street 1:3495 BAILEY AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1129
Practice Address - Country:US
Practice Address - Phone:716-834-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024183810363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health