Provider Demographics
NPI:1891494191
Name:RACHAEL THE NP, LLC
Entity Type:Organization
Organization Name:RACHAEL THE NP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL ANN
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:540-300-2026
Mailing Address - Street 1:PO BOX 1083
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22555-1083
Mailing Address - Country:US
Mailing Address - Phone:540-300-2026
Mailing Address - Fax:716-214-3792
Practice Address - Street 1:206 FORESAIL CV
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-2525
Practice Address - Country:US
Practice Address - Phone:540-300-2026
Practice Address - Fax:716-214-3792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty