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NPI Code Detail

MEDICARE: RACHELLE REGUEIRO FNP-BC

MEDICARE:   RACHELLE  REGUEIRO  FNP-BC
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 PractitionerARNP9387244FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851802920
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHELLE REGUEIRO FNP-BC
Provider Business Mailing Address
First Line : 3450 LANTANA RD
Second Line : STE 100
City : LAKE WORTH
State : FL
Zip : 33462-1304
Country : US
Telephone Number : 561-965-1864
Fax Number :
Provider Business Practice Location Address
First Line : 13762 80TH LN N
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33412-2343
Country : US
Telephone Number : 954-554-1165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2017
Last Update Date : 02/19/2019

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Directions to “ RACHELLE REGUEIRO FNP-BC” Practice Location

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