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NPI Code Detail

MEDICARE: RACHEAL RYAN

MEDICARE:   RACHEAL  RYAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant
2374U00000XHome Health Aide13539DC

General Provider Information

NPI Number : 1558848507
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEAL RYAN
Provider Business Mailing Address
First Line : 5018 HUNT ST NE APT 2
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-4885
Country : US
Telephone Number : 202-520-5371
Fax Number :
Provider Business Practice Location Address
First Line : 5018 HUNT ST NE APT 12
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-4885
Country : US
Telephone Number : 202-291-2689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2018
Last Update Date : 07/22/2025

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Directions to “ RACHEAL RYAN ” Practice Location

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