RACHAEL A CABRAL GUEVARA FNP NPI 1861641516

NPI Information

NPI: 1861641516
Provider Name: RACHAEL A CABRAL GUEVARA, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
301 BAY PARK SQ
GREEN BAY, WI
ZIP 54304
Phone: (920) 592-9475
Get Directions

Rachael A Cabral Guevara, FNP is a family nurse practitioner in Green Bay, WI. Rachael A Cabral Guevara, FNP NPI is 1861641516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 BAY PARK SQ
GREEN BAY, WI
ZIP 54304-104
Phone: (920) 592-9475

The NPI 1861641516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2008 and was last updated on 9/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3581-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	075100125	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
2	K400144063	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
3	078450054	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
4	071700067	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
5	590050056	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
6	K400163086	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
7	100200073	MEDICARE OSCAR/CERTIFICATION	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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