Healthcare Provider Details

I. General information

NPI: 1306643200
Provider Name (Legal Business Name): RACHEL PIE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5258 LINTON BLVD STE 106
DELRAY BEACH FL
33484-6529
US

IV. Provider business mailing address

5258 LINTON BLVD STE 106
DELRAY BEACH FL
33484-6529
US

V. Phone/Fax

Practice location:
  • Phone: 561-303-3491
  • Fax: 877-248-5240
Mailing address:
  • Phone: 561-303-3491
  • Fax: 877-248-5240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11031987
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: