Provider Demographics
NPI:1194149468
Name:COMEAUX, RACHAEL M (RN)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:M
Last Name:COMEAUX
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:RACHAEL
Other - Middle Name:MICHELLE
Other - Last Name:COMEAUX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:1503 WC VIAR RD
Mailing Address - Street 2:
Mailing Address - City:HALLS
Mailing Address - State:TN
Mailing Address - Zip Code:38040-7262
Mailing Address - Country:US
Mailing Address - Phone:731-413-0479
Mailing Address - Fax:
Practice Address - Street 1:1997 HIGHWAY 51 S
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-3630
Practice Address - Country:US
Practice Address - Phone:901-476-8967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000176358163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse