Individual provider · Type 1 NPI
Rachael Proveaux
Family Nurse Practitioner · Manvel, TX
NPI number
1457001992
Active
Practice location
3003 Texas Trail Ln
Manvel, TX 77578-3263
Mailing address
8422 Tampa Point Blvd
Tampa, FL 33621-1405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11021125 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457001992
Rachael Proveaux's National Provider Identifier is 1457001992, issued on Mar 27, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manvel, TX. The record was last updated on Dec 1, 2023.