Individual provider · Type 1 NPI
Rachael Erin Prendergast, MSN, RN, PNP-AC
Pediatric Nurse Practitioner · Providence, RI
NPI number
1700393394
Active
Practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Other practice locations
- 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 · (215) 590-1000
- 300 Longwood Ave, Boston, MA 02115-5724 · (617) 355-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | SP018433 (PA) |
| Pediatric Nurse Practitioner | 363LP0200X | RN2288750 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN04116 (RI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1700393394
Rachael Erin Prendergast, MSN, RN, PNP-AC's National Provider Identifier is 1700393394, issued on Jan 4, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Providence, RI. The record was last updated on Aug 7, 2024.