Individual provider · NPI-1

Rachel Elisabeth Herndon, NP

Nurse Practitioner, Family · Apo, AE

NPI number1780245035
StatusActive
Last updated in NPPESApr 12, 2024

Details

NPI
1780245035
Entity type
Individual (NPI-1)
Name
Rachel Elisabeth Herndon
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 27, 2019
Certification date
Apr 12, 2024
Last updated
Apr 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPN.0994733-NPCOYes
163W00000X Registered NurseRN.0186741CO
286500000X Military HospitalAPN.0994733-NPCO

Other names

  • Rachel Bott (Former Name)

Practice location

Unit 33100
Apo, AE 09180-3100

Phone 314-590-7495

Mailing address

Unit 33100
Apo, AE 09180-3100

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