Provider Demographics
NPI:1043774664
Name:TAYLOR, RACHAEL HUGHES (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:HUGHES
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MOBILE ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3121
Mailing Address - Country:US
Mailing Address - Phone:251-725-1268
Mailing Address - Fax:251-725-0070
Practice Address - Street 1:22 MOBILE ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3121
Practice Address - Country:US
Practice Address - Phone:251-725-1268
Practice Address - Fax:251-725-0070
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-085466363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health