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Individual
RACHEL LEE SELF
Active
Individual
RACHEL LEE SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
640626
TX
363LF0000X
Family Nurse Practitioner
Primary
640626
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
640626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211222901
—
TX
05
—
211222902
—
TX
01
—
818N21
BCBS
TX
01
—
P00860920
RAILROAD
TX
Enumeration date
08/04/2008
Last updated
12/04/2022
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