MEDICARE: RACHEL MARTINEAU 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
1	363L00000X	Nurse Practitioner	209034321	IL

General Provider Information

NPI Number	:	1487537940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MARTINEAU NP

Provider Business Mailing Address
First Line	:	PO BOX 3988
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62902-3988
Country	:	US
Telephone Number	:	618-457-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3316 PATRIOT CT
Second Line	:
City	:	HERRIN
State	:	IL
Zip	:	62948-3782
Country	:	US
Telephone Number	:	618-993-0307
Fax Number	:	618-993-0807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	03/06/2026

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