Provider Demographics
NPI:1558878595
Name:RICHNAVSKY, RACHEL LEE (CNP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LEE
Last Name:RICHNAVSKY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:LEE
Other - Last Name:NUGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:1636 WALTHAM RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3864
Mailing Address - Country:US
Mailing Address - Phone:740-602-1652
Mailing Address - Fax:
Practice Address - Street 1:1885 W. HENDERSON RD.
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43220
Practice Address - Country:US
Practice Address - Phone:614-451-6555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-29
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022038363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily