Provider Demographics
NPI:1649036062
Name:QAISIEH, RACHEL T (FNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:T
Last Name:QAISIEH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 HACKER ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4508
Mailing Address - Country:US
Mailing Address - Phone:337-330-2576
Mailing Address - Fax:337-321-6295
Practice Address - Street 1:1048 E EBEY ST
Practice Address - Street 2:
Practice Address - City:CHURCH POINT
Practice Address - State:LA
Practice Address - Zip Code:70525-2707
Practice Address - Country:US
Practice Address - Phone:337-684-3000
Practice Address - Fax:337-210-2860
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA233972363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily