Provider Demographics
NPI:1669894119
Name:EVENS, RACHEL J (APRN, CNM, FNP-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:J
Last Name:EVENS
Suffix:
Gender:F
Credentials:APRN, CNM, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2938 W STRAWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-8494
Mailing Address - Country:US
Mailing Address - Phone:208-210-8087
Mailing Address - Fax:208-981-0066
Practice Address - Street 1:3904 E MULLAN AVE STE C
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-4009
Practice Address - Country:US
Practice Address - Phone:208-981-0132
Practice Address - Fax:208-981-0066
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-16
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-100092363LF0000X
SDCM000057367A00000X
ID63306363LF0000X
MTLIC-NUR-RN 33275367A00000X
MT100092363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology