Individual
RACHEL VAN DE WAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
28 LOWER BOWER RD, SAND LAKE, NY 12153-1912
(518) 441-3624
Mailing address
28 LOWER BOWER RD, SAND LAKE, NY 12153-1912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
079341-21
NH
163W00000X
Registered Nurse
14-143922-051
KS
163W00000X
Registered Nurse
150100
CT
163W00000X
Registered Nurse
2824419OA
IN
163W00000X
Registered Nurse
42490623
IL
163W00000X
Registered Nurse
4704341601
MI
163W00000X
Registered Nurse
58110
ID
163W00000X
Registered Nurse
95165777
CA
163W00000X
Registered Nurse
L1-0071640
DE
163W00000X
Registered Nurse
RN-129681
MT
163W00000X
Registered Nurse
RN276845
GA
163W00000X
Registered Nurse
RN60838614
WA
163W00000X
Registered Nurse
T20230512
MD
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
688558
NY
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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