Provider Demographics
NPI:1114235199
Name:TOOTLE, RACHAEL ALINE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:ALINE
Last Name:TOOTLE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5530 LONG PRAIRIE TRCE STE 400
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2331
Mailing Address - Country:US
Mailing Address - Phone:832-400-9623
Mailing Address - Fax:281-864-0449
Practice Address - Street 1:5530 LONG PRAIRIE TRCE STE 400
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2331
Practice Address - Country:US
Practice Address - Phone:832-400-9623
Practice Address - Fax:281-864-0449
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP121420363LF0000X
TX1883363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP121420OtherTEXAS LICENSE NUMBER