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NPI Code Detail

MEDICARE: RACHEL WALLING FNP

MEDICARE: RACHEL WALLING FNP
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 Practitioner360285NY

General Provider Information

NPI Number : 1659297836
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL WALLING FNP
Provider Business Mailing Address
First Line : 33 LEWIS RD
Second Line :
City : BINGHAMTON
State : NY
Zip : 13905-1048
Country : US
Telephone Number : 607-770-0025
Fax Number :
Provider Business Practice Location Address
First Line : 15 BIRDSALL ST
Second Line :
City : GREENE
State : NY
Zip : 13778-1057
Country : US
Telephone Number : 607-656-4115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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