Doctor Name: | RACHEL MCCAULEY |
NPI Number: | 1659701001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 5590-33 |
Business Practice Address: | 8661 N Port Washington Rd Minuteclinic Fox Point, WI - 532172209 |
Business Phone Number: | 4145406836 |
Business Fax Number: | |
Mailing Address: | 745 Imperial Ct, WEST BEND |
State: | WI |
Postal Code: | 530954319 |
Phone Number: | 4145406836 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2013 |
NPI Last Update Date: | 10/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5590-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |