Basic Information
| Provider Information | |||||||||
| NPI: | 1720559537 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BURKE | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | OWENS | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 208 | ||||||||
| Address2: | |||||||||
| City: | NICKELSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 242710208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2764793171 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 17285 VETERANS MEMORIAL HWY | ||||||||
| Address2: | |||||||||
| City: | DUNGANNON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 242453937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2764672201 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2018 | ||||||||
| LastUpdateDate: | 10/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 10/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0000025130 | TN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LP0808X | 0024176903 | VA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health | 363LF0000X | 0024176903 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.