# RACHEL WATSON WALLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194095125
- **Gender:** F
- **Credential:** APRN, PNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | A005238 | AR | — |
| 363LP0200X | Pediatric Nurse Practitioner | RN108921-AP06666 | LA | Yes |

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 08/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 007095465 | LOUISIANA DRIVERS LICENSE | LA |
| 01 | — | 060129 | PRESCRIPTIVE AUTHORITY - LOUISIANA STATE BOARD OF NURSING | LA |
| 05 | — | 2177079 | — | LA |