Doctor Name: | RACHYL D IRELAND |
NPI Number: | 1063686061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F335486-1 |
Business Practice Address: | 4200 Sun N Lake Blvd Sebring, FL - 338721986 |
Business Phone Number: | 8633826183 |
Business Fax Number: | 8633821433 |
Mailing Address: | 4200 Sun N Lake Blvd, SEBRING |
State: | FL |
Postal Code: | 338721986 |
Phone Number: | 8633826183 |
Fax Number: | 8633821433 |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F335486-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |