Individual provider · Type 1 NPI
Raequel Allyssa Madara, PMHNP, LCSW
Psychiatric/Mental Health Nurse Practitioner · Shillington, PA
NPI number
1427399377
Active
Practice location
527 E Lancaster Ave
Shillington, PA 19607-1364
Fax (610) 796-9130
Mailing address
145 E Greenwood Ave
Lansdowne, PA 19050-1621
Other practice locations
- 145 E Greenwood Ave, Lansdowne, PA 19050-1621 · (610) 368-7737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | CW017538 (PA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP032464 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1427399377
Raequel Allyssa Madara, PMHNP, LCSW's National Provider Identifier is 1427399377, issued on Mar 1, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shillington, PA. The record was last updated on Sep 19, 2025.