| Rachel Elizabeth Mallory, | |
|
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | |
| (863) 680-7000 | |
| (866) 264-8519 |
| Full Name | Rachel Elizabeth Mallory |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1600 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548027113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11032910 (Florida) | Primary |
| Entity Name | Watson Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316940695 PECOS PAC ID: 1456258979 Enrollment ID: O20031215000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Elizabeth Mallory, 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 | Rachel Elizabeth Mallory, 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 Ph: (863) 680-7000 |
Matthew Lee Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5701 Stratford Lane, Lakeland, FL 33813 Phone: 863-514-8640 | |
Nathan Yount, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd., Lakeland, FL 33805 Phone: 863-680-7830 Fax: 866-264-8519 | |
Anna M De La Torre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Grissell Rojas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 863-680-7420 | |
Johnnie Mae Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Ms. Emilee Rebecca Niekro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Mrs. Jessica Nicole Withrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7206 Fax: 866-264-8519 |