Provider Demographics
NPI:1437749280
Name:EUCALYPTUS HEALTH, PLLC
Entity Type:Organization
Organization Name:EUCALYPTUS HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:DAOU
Authorized Official - Last Name:FEATHERSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:WHNP-BC, MSN
Authorized Official - Phone:208-779-7019
Mailing Address - Street 1:8010 NICEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2222
Mailing Address - Country:US
Mailing Address - Phone:208-779-7019
Mailing Address - Fax:
Practice Address - Street 1:8010 NICEWOOD RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-2222
Practice Address - Country:US
Practice Address - Phone:208-779-7019
Practice Address - Fax:833-989-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center