Individual
GRAHAM WAYNE RACHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 300, SHREVEPORT, LA 71105-5634
(318) 798-4488
(318) 798-4529
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6000
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
63614
ID
363LF0000X
Family Nurse Practitioner
Primary
AP07641
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225456304
—
ID
05
—
2367994
—
LA
Enumeration date
04/04/2014
Last updated
02/02/2026
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