Raquel Wall NP, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RAQUEL WALL NP, LLC

Practice address

1490 E Foremaster Dr Ste 320
St George, UT 84790-4505

Phone

(435) 359-3115

Fax

(435) 274-0870

NPI assigned

Feb 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raquel Ann Wall, APRN - NP

Title

Owner

Phone

(435) 359-3115

Specialties & licenses 1

Addresses

Other names 1

• Beauty Restored and Wellness LLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1689320111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 320",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904505",
            "telephone_number": "435-359-3115",
            "fax_number": "435-291-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 320",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904505",
            "telephone_number": "435-359-3115",
            "fax_number": "435-274-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAQUEL WALL NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-359-3115",
        "authorized_official_credential": "APRN - NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauty Restored and Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lindsi Ranger
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• Laura Elizabeth Ransom, P.A.
• Jordan Rapp
• Parker Rappleye
• Jackie Rasband
• Leslie Rasch, NP-C
• Erin Rasmus
• Braxton Rasmussen
• Bryn Rasmussen

• Family Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.