Basic Information
Provider Information
NPI: 1023484797
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COX
FirstName: RACHEL
MiddleName: LAUREN
NamePrefix:  
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 675 PARAMOUNT DR
Address2: SUITE 203
City: RAYNHAM
State: MA
PostalCode: 027675416
CountryCode: US
TelephoneNumber: 5088800012
FaxNumber: 5089677428
Practice Location
Address1: 184 W MAIN ST
Address2:  
City: NORTON
State: MA
PostalCode: 027661243
CountryCode: US
TelephoneNumber: 5088240243
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/18/2015
LastUpdateDate: 06/24/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN2295432MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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