Provider Demographics
NPI:1780002253
Name:SPELL, RACHEL ERIN (NP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ERIN
Last Name:SPELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2600 JOHNSTON ST STE 260
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3269
Mailing Address - Country:US
Mailing Address - Phone:227-889-5364
Mailing Address - Fax:337-232-0477
Practice Address - Street 1:2600 JOHNSTON ST STE 260
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3269
Practice Address - Country:US
Practice Address - Phone:227-889-5364
Practice Address - Fax:337-232-0477
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAAP07751363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner