Provider Demographics
NPI:1568175560
Name:HALL, RACHEL (LPN)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 GALLOWAY ST
Mailing Address - Street 2:
Mailing Address - City:STEILACOOM
Mailing Address - State:WA
Mailing Address - Zip Code:98388-3909
Mailing Address - Country:US
Mailing Address - Phone:253-983-2500
Mailing Address - Fax:253-583-8478
Practice Address - Street 1:1201 GALLOWAY ST
Practice Address - Street 2:
Practice Address - City:STEILACOOM
Practice Address - State:WA
Practice Address - Zip Code:98388-3909
Practice Address - Country:US
Practice Address - Phone:253-983-2500
Practice Address - Fax:253-583-8478
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP60798775164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse