Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | R660906 | MS |
NPI | 1003055617 |
---|---|
Provider Name | Mrs. Rachel Lorraine Rauls |
First Address | Biloxi, MS 39530-4130 |
Second Address | Biloxi, MS 39530-4130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2009 |
Last Update Date | 10/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07753202 | (05) | MS |