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Individual

RACHELLE J. HAMELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
214 N MAIN STREET, RIGGINS, ID 83549
(208) 628-3666
(208) 634-7212
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP380A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010017403
BS SRMC
ID
01
000010149379
BS PLMC
ID
01
500018433
RRMCR
ID
05
805158000
ID
01
NPLH0
BC SRMC
ID
01
NPQG7
BC PLMC
ID
Enumeration date
02/12/2007
Last updated
10/15/2012
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