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NPI Code Detail

MEDICARE: DR. RACHEL DIANN PAUL DNP, CRNA

MEDICARE: DR. RACHEL DIANN PAUL DNP, CRNA
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
1367500000XCertified Registered Nurse Anesthetist27855TN
2367500000XCertified Registered Nurse Anesthetist264592AZ

General Provider Information

NPI Number : 1962009159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHEL DIANN PAUL DNP, CRNA
Provider Business Mailing Address
First Line : 650 E INDIAN SCHOOL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-1839
Country : US
Telephone Number : 602-277-5551
Fax Number :
Provider Business Practice Location Address
First Line : 650 E INDIAN SCHOOL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-1839
Country : US
Telephone Number : 901-523-8990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 12/14/2025

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