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NPI Code Detail

MEDICARE: MRS. RACHAEL M SHELLY NP

MEDICARE: MRS. RACHAEL M SHELLY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11038671FL

General Provider Information

NPI Number : 1427810886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHAEL M SHELLY NP
Provider Business Mailing Address
First Line : 12280 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12280 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5009
Country : US
Telephone Number : 407-273-3284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2024
Last Update Date : 01/22/2026

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