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NPI Code Detail

MEDICARE: RACHEL KOLLER FNP-C

MEDICARE: RACHEL KOLLER FNP-C
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 PractitionerRN315500GA

General Provider Information

NPI Number : 1821843079
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL KOLLER FNP-C
Provider Business Mailing Address
First Line : 1357 HEMBREE RD STE 250
Second Line :
City : ROSWELL
State : GA
Zip : 30076-5724
Country : US
Telephone Number : 770-754-0787
Fax Number :
Provider Business Practice Location Address
First Line : 1357 HEMBREE RD STE 250
Second Line :
City : ROSWELL
State : GA
Zip : 30076-5724
Country : US
Telephone Number : 770-754-0787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 12/19/2024

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Directions to “ RACHEL KOLLER FNP-C” Practice Location

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