Healthcare Provider Details

I. General information

NPI: 1417460478
Provider Name (Legal Business Name): RACHAEL ELIZABETH HALL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 10/30/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1554 WESLEY WAY
LANCASTER OH
43130
US

IV. Provider business mailing address

6071 WILSON RD. NW
LANCASTER OH
43130
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-6386
  • Fax: 740-687-1388
Mailing address:
  • Phone: 937-638-8958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF11170022
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: