Healthcare Provider Details

I. General information

NPI: 1992396832
Provider Name (Legal Business Name): SARAH RACHAL AG-ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 4TH ST
ALEXANDRIA LA
71301-8421
US

IV. Provider business mailing address

140 SAINT ANDREWS DR
ALEXANDRIA LA
71303-9700
US

V. Phone/Fax

Practice location:
  • Phone: 318-769-3000
  • Fax: 318-704-2747
Mailing address:
  • Phone: 318-228-9397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number218485
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: