Waller, Rachel Watson

Waller, Rachel Watson is an individual health care provider with primary practice located at 600 Cypress St , Sulphur LA 70663-5052. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Waller, Rachel Watson can be contacted via phone (337) 527-6371.

Contact Information

Primary practice address
600 Cypress St Sulphur LA 70663-5052
Phone: (337) 527-6371
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A005238 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN108921-AP06666 Louisiana

Profile Details

NPI number 1194095125
LBN Legal business name Waller, Rachel Watson
Credentials APRN, PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Dec 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194095125 NPPES
Louisiana Other 007095465 LOUISIANA DRIVERS LICENSE
Louisiana MEDICAID 2177079 LOUISIANA DRIVERS LICENSE
Louisiana Other 060129 LOUISIANA DRIVERS LICENSE

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