person
Rachel Watson Waller, APRN,PNP
Pediatric Nurse Practitioner in Sulphur, Louisiana
NPI 1194095125

Rachel Watson Waller is a Pediatric Nurse Practitioner based in Sulphur, LA and is specialized in Pediatrics. Rachel Watson Waller practices in Sulphur, LA and has the professional credentials of APRN,PNP. The NPI Number for Rachel Watson Waller is 1194095125 and holds a License No. A005238 (Louisiana).

The current practice location address for Rachel Watson Waller is 600 Cypress St, Sulphur, LA and can be reached out via phone at 337-527-6371.

Location: 600 Cypress St, Sulphur, LA, 70663-5052
person
Provider Profile Details
NPI Number
1194095125
Provider Name
Rachel Watson Waller
Credential
APRN,PNP
Provider Entity Type
Individual
Gender
Female
Address
600 Cypress St, Sulphur, LA, 70663-5052
Phone Number
337-527-6371
Fax Number
Provider Enumeration Date
01/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007095465 01 LA LOUISIANA DRIVERS LICENSE
2177079 05 LA
060129 01 LA PRESCRIPTIVE AUTHORITY - LOUISIANA STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
600 Cypress St
City
State
Zip
70663-5052
Phone Number
337-527-6371
Fax Number
person
Provider Business Mailing Address Details
Address
600 Cypress St
City
State
Zip
70663-5052
Phone Number
337-527-6371
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
A005238 (Arkansas)
Definition
Definition to come...
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