Healthcare Provider Details

I. General information

NPI: 1245910520
Provider Name (Legal Business Name): RACHAEL KATHERINE MARGUERITE VIALE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE
SAN FRANCISCO CA
94143-2206
US

IV. Provider business mailing address

525 N WOLFE ST
BALTIMORE MD
21205-2110
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-3785
  • Fax:
Mailing address:
  • Phone: 408-313-6956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberNA95002921
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95180421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: