Search › Pennsylvania › 363L00000X
Rachael Fornwalt, CRNP
NPI 1750774691 · on the registry since 2015 · sole proprietor
Practice
- Address
- 239 Colonnade Blvd Fl 2
State College, PA 16803 - Phone
- (582) 220-2215
- Fax
- (582) 220-2216
- Organisation at this address
- Jc Blair Memorial Hospital
J C Blair Memorial Hospital
J C Blair Memorial Hospital
J C Blair Memorial Hospital
J C Blair Memorial HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- MD, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania