Healthcare Provider Details
I. General information
NPI: 1700384948
Provider Name (Legal Business Name): RACHEL SARAH APPOO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/23/2018
Last Update Date: 12/26/2019
Certification Date: 12/26/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7301 STONEROCK CIR
ORLANDO FL
32819-8004
US
IV. Provider business mailing address
7301 STONEROCK CIR
ORLANDO FL
32819-8004
US
V. Phone/Fax
- Phone: 407-298-6950
- Fax: 407-578-2354
- Phone: 407-298-6950
- Fax: 407-578-2354
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0200X |
| Taxonomy | Critical Care Medicine Registered Nurse |
| License Number | 9263550 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | ARNP9263550 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | F02180053 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | APRN9263550 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: