Provider Demographics
NPI:1245043082
Name:AGNOLI, RACHAEL MICHELLE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MICHELLE
Last Name:AGNOLI
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:MICHELLE
Other - Last Name:GUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, IBCLC
Mailing Address - Street 1:1218 SYCAMORE LEAF WAY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4437
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1218 SYCAMORE LEAF WAY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4437
Practice Address - Country:US
Practice Address - Phone:321-314-4733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000229003163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant