Individual
RACHAEL ANTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6977
Mailing address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6977
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
0001244626
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
0024177808
VA
Other
Enumeration date
09/14/2016
Last updated
11/27/2023
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