Provider Demographics
NPI:1730369109
Name:GRAEF, RACHEL (ARNP, MSN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:GRAEF
Suffix:
Gender:F
Credentials:ARNP, MSN
Other - Prefix:
Other - First Name:RENATA
Other - Middle Name:
Other - Last Name:GRAEF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP, MSN
Mailing Address - Street 1:677 TRACE CIR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-8121
Mailing Address - Country:US
Mailing Address - Phone:954-363-1011
Mailing Address - Fax:561-807-7836
Practice Address - Street 1:677 TRACE CIR
Practice Address - Street 2:SUITE 210
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-8121
Practice Address - Country:US
Practice Address - Phone:954-363-1011
Practice Address - Fax:561-807-7836
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9189470363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care