Individual
ANGELA CLARK RACHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
5131 ODONOVAN DR STE 200, BATON ROUGE, LA 70808-4791
(225) 374-0220
(225) 374-0221
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 374-0220
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
95014828
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
AP06238
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95014828
CA NP LICENSE
CA
01
—
AP06238
NP LICENSE #
LA
01
—
PA080093
LA PRESCRIPTIVE AUTHORITY
LA
Enumeration date
08/13/2010
Last updated
01/05/2024
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