Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 0101255637 | VA |
N | 208000000X | Pediatrician | 0101255637 | VA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 0101255637 | VA |
NPI | 1114189974 |
---|---|
Provider Name | Dr. Rachel Ayne Armentrout |
First Address | Norfolk, VA 23507-1910 |
Second Address | Norfolk, VA 23507-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 25/04/2020 |