Healthcare Provider Details

I. General information

NPI: 1265520308
Provider Name (Legal Business Name): RACHEL L WATE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1263 HOSPITAL DR NW STE 105
CORYDON IN
47112-2173
US

IV. Provider business mailing address

PO BOX 38
CORYDON IN
47112-0038
US

V. Phone/Fax

Practice location:
  • Phone: 812-734-3800
  • Fax: 812-738-7833
Mailing address:
  • Phone: 812-738-4251
  • Fax: 812-738-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71001897A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: