Individual provider · Type 1 NPI
Rachelle Huemoeller, NP
Gerontology Nurse Practitioner · San Jose, CA
NPI number
1134575343
Active
Practice location
751 S Bascom Ave
San Jose, CA 95128-2604
Fax (408) 885-3552
Mailing address
3225 Mcleod Dr Ste 777
Las Vegas, NV 89121-2257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 574263 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95003880 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1134575343
Rachelle Huemoeller, NP's National Provider Identifier is 1134575343, issued on May 5, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Jose, CA. The record was last updated on Jan 10, 2024.