Rodimel, Rachael Lauren
Rodimel, Rachael Lauren is an individual health care provider with primary practice located at 3920 St Francis Way Ste 100 , Lafayette IN 47905-4917. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Rodimel, Rachael Lauren can be contacted via phone (765) 428-5990.Contact Information
Primary practice address
3920 St Francis Way Ste 100
Lafayette IN 47905-4917
Phone: (765) 428-5990
Fax: (765) 428-5896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 28204289A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71006751A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 71006751A | Indiana |
Profile Details
| NPI number | 1679937510 |
|---|---|
| LBN Legal business name | Rodimel, Rachael Lauren |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2016 |
| Last updated | Apr 4th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679937510 | NPPES |
| Indiana | MEDICAID | 201407900 | |
| Indiana | Other | 000001062710 |
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