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Contact Information

RACHEL N ANDERSON, APP
401 N MAIN ST
ROANOKE, IL61561-7585
 Phone: 309-923-2661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RACHEL N ANDERSON · (Female)

NPI Number 1033937743
Status Active
Credentials APP
Entity Individual
Enumeration date 10/01/2024
Last updated 10/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 209030633
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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