Healthcare Provider Details

I. General information

NPI: 1457004624
Provider Name (Legal Business Name): RACHEL DELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 W WILLIAMS ST STE 102
APEX NC
27502-3979
US

IV. Provider business mailing address

1011 W WILLIAMS ST STE 102
APEX NC
27502-3979
US

V. Phone/Fax

Practice location:
  • Phone: 919-870-8409
  • Fax:
Mailing address:
  • Phone: 919-870-8409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF01220988
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5015743
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: