Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MRS. RACHELLE VANDER DUSSEN
Active
Individual
MRS. RACHELLE VANDER DUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
625600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EPS012310
MEDI-CAL PROVIDER NUMBER
CA
01
—
RVN001740
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
07/10/2007
Last updated
10/05/2007
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