Basic Information
| Provider Information | |||||||||
| NPI: | 1780086538 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARCH | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 449 | ||||||||
| Address2: | |||||||||
| City: | MARIETTA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 457500449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403744500 | ||||||||
| FaxNumber: | 7403745587 | ||||||||
| Practice Location | |||||||||
| Address1: | 151 ANDERSON LN | ||||||||
| Address2: | |||||||||
| City: | WATERFORD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 457865312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7409842332 | ||||||||
| FaxNumber: | 7409844435 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2014 | ||||||||
| LastUpdateDate: | 08/20/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 16596-NP | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 3810028365 | 05 | WV | MEDICAID | 0115919 | 05 | OH | MEDICAID |