Provider Demographics
NPI:1528518297
Name:DOLL, RACHAEL L (CNP)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:L
Last Name:DOLL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:L
Other - Last Name:MARQUETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6700 HOME CITY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-1119
Mailing Address - Country:US
Mailing Address - Phone:513-363-5170
Mailing Address - Fax:513-363-5175
Practice Address - Street 1:6700 HOME CITY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-1119
Practice Address - Country:US
Practice Address - Phone:513-363-5170
Practice Address - Fax:513-363-5175
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.019883363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily