Healthcare Provider Details

I. General information

NPI: 1396358404
Provider Name (Legal Business Name): RACHEL ELIZABETH PATERNOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CENTERPOINT DR STE 215
MIDDLETOWN CT
06457-7568
US

IV. Provider business mailing address

100 CROSSING BLVD STE 300
FRAMINGHAM MA
01702-5555
US

V. Phone/Fax

Practice location:
  • Phone: 888-964-6681
  • Fax: 888-662-0859
Mailing address:
  • Phone: 888-964-6681
  • Fax: 888-662-0859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9152
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: