Provider Demographics
NPI:1487343745
Name:HORACE, RACHEL GBUO
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:GBUO
Last Name:HORACE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 ROUTE 38 APT 1007
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-4234
Mailing Address - Country:US
Mailing Address - Phone:267-401-5815
Mailing Address - Fax:
Practice Address - Street 1:2151 ROUTE 38 APT 1007
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-4234
Practice Address - Country:US
Practice Address - Phone:267-401-5815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR18005000163WP0808X
NJ26NJ14903600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health