Healthcare Provider Details

I. General information

NPI: 1023202207
Provider Name (Legal Business Name): HEATHER RENEE RACHAL CPNP-AC/PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER RENEE SLOCUM RN

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1268 SOUTHAMPTON DR
ALEXANDRIA LA
71303-3036
US

IV. Provider business mailing address

5719 MILDRED AVE
ALEXANDRIA LA
71301-2827
US

V. Phone/Fax

Practice location:
  • Phone: 318-777-6887
  • Fax: 318-545-5226
Mailing address:
  • Phone: 318-487-0606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP05266
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberAP05266
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: