Provider Demographics
NPI:1891223459
Name:TRAHAN, RACHAEL DELCAMBRE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:DELCAMBRE
Last Name:TRAHAN
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 CHEMIN METAIRIE RD STE A
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-2000
Mailing Address - Country:US
Mailing Address - Phone:337-279-1363
Mailing Address - Fax:337-279-0165
Practice Address - Street 1:1516 CHEMIN METAIRIE RD STE A
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-2000
Practice Address - Country:US
Practice Address - Phone:337-279-1363
Practice Address - Fax:337-279-0165
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09303363L00000X, 363LF0000X
LAF05170618363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAF05170618OtherAANP BOARD CERTIFICATION
LAAP09303OtherLOUISIANA STATE BOARD OF NURSING
LA049981OtherCDS
LA049981OtherCDS