Provider Demographics
NPI:1245061845
Name:REDLI, RACHAL (FNP-C)
Entity type:Individual
Prefix:MS
First Name:RACHAL
Middle Name:
Last Name:REDLI
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14761 TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-5520
Mailing Address - Country:US
Mailing Address - Phone:619-846-8691
Mailing Address - Fax:
Practice Address - Street 1:14761 TIMBER LN
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-5520
Practice Address - Country:US
Practice Address - Phone:619-846-8691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0037299363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily