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NPI Code Detail

MEDICARE: RACHEL R IMPERATO CFNP

MEDICARE:   RACHEL R IMPERATO  CFNP
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
1363L00000XNurse Practitioner2018021613MO

General Provider Information

NPI Number : 1801380845
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL R IMPERATO CFNP
Provider Business Mailing Address
First Line : 2840 BAGNELL DAM BLVD
Second Line :
City : LAKE OZARK
State : MO
Zip : 65049-9732
Country : US
Telephone Number : 573-693-1373
Fax Number :
Provider Business Practice Location Address
First Line : 2840 BAGNELL DAM BLVD
Second Line :
City : LAKE OZARK
State : MO
Zip : 65049-9732
Country : US
Telephone Number : 573-693-1373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2018
Last Update Date : 03/21/2023

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Directions to “ RACHEL R IMPERATO CFNP” Practice Location

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