RACHEL LEE VREDENBURG NPI 1821924655

NPI Information

  • NPI: 1821924655
  • Provider Name: RACHEL LEE VREDENBURG
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 301 PROSPECT AVE
    SYRACUSE, NY
    ZIP 13203
  • Phone: (315) 882-1251

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NPI Details

Rachel Lee Vredenburg is a primary care nurse practitioner in Syracuse, NY. Rachel Lee Vredenburg NPI is 1821924655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 PROSPECT AVE
SYRACUSE, NY
ZIP 13203-899
Phone: (315) 882-1251

The enumeration date for this NPI number is 6/19/2026 and was last updated on 6/19/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care359947NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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