Provider Demographics
NPI:1265520308
Name:WATE, RACHEL L (NP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:L
Last Name:WATE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-0038
Mailing Address - Country:US
Mailing Address - Phone:812-738-4251
Mailing Address - Fax:812-738-4251
Practice Address - Street 1:1263 HOSPITAL DR NW STE 105
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2173
Practice Address - Country:US
Practice Address - Phone:812-734-3800
Practice Address - Fax:812-738-7833
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71001897A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN233440AMedicare ID - Type UnspecifiedMEDICARE
INQ58481Medicare UPIN