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Graham Wayne Rachal, FNP
Family Nurse Practitioner in Shreveport, Louisiana
NPI 1225456304

Graham Wayne Rachal is a Family Nurse Practitioner based in Shreveport, LA and is specialized in Family. Graham Wayne Rachal practices in Shreveport, LA and has the professional credentials of FNP. The NPI Number for Graham Wayne Rachal is 1225456304 and holds a License No. 63614 (Louisiana).

The current practice location address for Graham Wayne Rachal is 1455 E Bert Kouns Industrial Loop Ste 300, Shreveport, LA and can be reached out via phone at 318-798-4488 and via fax at 318-798-4672.

Location: 1455 E Bert Kouns Industrial Loop Ste 300, Shreveport, LA, 71105-6000
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Provider Profile Details
NPI Number
1225456304
Provider Name
Graham Wayne Rachal
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1455 E Bert Kouns Industrial Loop Ste 300, Shreveport, LA, 71105-6000
Phone Number
318-798-4488
Fax Number
318-798-4672
Provider Enumeration Date
04/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2367994 05 LA
1225456304 05 ID
institution
Provider Business Practice Location Address Details
Address
1455 E Bert Kouns Industrial Loop Ste 300
City
State
Zip
71105-5634
Phone Number
318-798-4488
Fax Number
318-798-4672
person
Provider Business Mailing Address Details
Address
1455 E Bert Kouns Industrial Loop Ste 300
City
State
Zip
71105-5634
Phone Number
318-798-4488
Fax Number
318-798-4672
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
63614 (Idaho)
Definition
Definition to come...
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