Individual
MS. RACHEL L. STALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
807 N MYRTLE AVE, CLEARWATER, FL 33755-4254
(727) 467-2400
(727) 467-2477
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.289959
NC
367A00000X
Advanced Practice Midwife
Primary
APRN9457312
FL
367A00000X
Advanced Practice Midwife
CNM.615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102248400
—
FL
Enumeration date
06/10/2015
Last updated
03/25/2019
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