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Individual

CHERYL R RACHELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
1902C NORTH SANDHILLS BLVD, ABERDEEN, NC 28315-2347
(910) 692-4011
(910) 695-1751
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8798
(910) 295-5511
(910) 695-1751

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200047
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7003798
NC
01
FH4000135
FCC PROVIDER NUMBER
NC
01
NP0961
SC MEDICAID PROVIDER#
SC
Enumeration date
06/29/2006
Last updated
03/09/2016
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