Provider Demographics
NPI:1447050232
Name:COONS, RACHEL CHRISTINE (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CHRISTINE
Last Name:COONS
Suffix:
Gender:
Credentials:BSN, RN
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:CHRISTINE
Other - Last Name:MANDELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5466 WILLOW ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BREWERTON
Mailing Address - State:NY
Mailing Address - Zip Code:13029-9417
Mailing Address - Country:US
Mailing Address - Phone:518-944-7447
Mailing Address - Fax:
Practice Address - Street 1:5466 WILLOW ST APT 2
Practice Address - Street 2:
Practice Address - City:BREWERTON
Practice Address - State:NY
Practice Address - Zip Code:13029-9417
Practice Address - Country:US
Practice Address - Phone:518-944-7447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY774367-01163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care