Provider Demographics
NPI:1447978903
Name:WEINBURG, RACHEL CHEREES
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:CHEREES
Last Name:WEINBURG
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 1:1220 W 4000 N
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-1344
Mailing Address - Country:US
Mailing Address - Phone:801-669-4761
Mailing Address - Fax:
Practice Address - Street 1:1220 W 4000 N
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-1344
Practice Address - Country:US
Practice Address - Phone:801-669-4761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10314202-3101163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool