Individual
MRS. RACHEL ELEANOR WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC, CNM
Contact information
Practice address
1960 NORTHSIDE BLVD, SOUTH BEND, IN 46615
(574) 307-7673
Mailing address
1960 NORTHSIDE BLVD, SOUTH BEND, IN 46615
(574) 307-7673
(574) 234-4706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72000074A
IN
367A00000X
Advanced Practice Midwife
72000074A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000577788
BCBS
IN
05
—
200398660
—
IN
Enumeration date
06/09/2006
Last updated
02/07/2024
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