Healthcare Provider Details

I. General information

NPI: 1134077738
Provider Name (Legal Business Name): RACHEL SHOPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 N. ROMA ROAD
APO AA
23665
US

IV. Provider business mailing address

504 N. ROMA ROAD
APO AA
23665
US

V. Phone/Fax

Practice location:
  • Phone: 757-878-5824
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number0301206999
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: