Provider Demographics
NPI:1922837186
Name:DIEGEL, RACHEL (RN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:DIEGEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 SANDPIPER LN
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-9383
Mailing Address - Country:US
Mailing Address - Phone:419-308-2976
Mailing Address - Fax:
Practice Address - Street 1:1141 SANDPIPER LN
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-9383
Practice Address - Country:US
Practice Address - Phone:419-308-2976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0037023363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily