Provider Demographics
NPI:1689487092
Name:VOLLMER, RACHELLE (RN)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:VOLLMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:
Other - Last Name:ADAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45125 HAWK DR
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:SD
Mailing Address - Zip Code:57048-6103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2501 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1305
Practice Address - Country:US
Practice Address - Phone:605-336-3230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR041517163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse