Individual
RACHEAL BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 865-1582
(513) 865-1405
Mailing address
8825 TULIPWOOD CT, CINCINNATI, OH 45242-7925
(513) 313-0126
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
297274
OH
363LA2100X
Acute Care Nurse Practitioner
CNP.18900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164702
—
OH
Enumeration date
04/12/2016
Last updated
02/04/2020
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