Provider Demographics
NPI:1902838956
Name:WILLIAMS-DEPART, RACHEL E (CNM, MS)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:E
Last Name:WILLIAMS-DEPART
Suffix:
Gender:F
Credentials:CNM, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 HODGES DRIVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4646
Mailing Address - Country:US
Mailing Address - Phone:850-877-5767
Mailing Address - Fax:850-877-5055
Practice Address - Street 1:1219 HODGES DRIVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4646
Practice Address - Country:US
Practice Address - Phone:850-877-5767
Practice Address - Fax:850-877-5055
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2065252176B00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered176B00000XOther Service ProvidersMidwife
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner