Basic Information
Provider Information
NPI: 1992716138
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCOBEE
FirstName: RACHEL
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1266
Address2:  
City: PITTSBURG
State: KS
PostalCode: 667621266
CountryCode: US
TelephoneNumber: 6202320444
FaxNumber: 6202357913
Practice Location
Address1: 1102 E CENTENNIAL DR
Address2:  
City: PITTSBURG
State: KS
PostalCode: 667626643
CountryCode: US
TelephoneNumber: 6202357900
FaxNumber: 6202357913
Other Information
ProviderEnumerationDate: 08/11/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X13-73679-072KSX Nursing Service ProvidersRegistered Nurse 
363L00000X45795KSX Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000X45795KSX Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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