Healthcare Provider Details
I. General information
NPI: 1881625242
Provider Name (Legal Business Name): RACHAEL A DARIAN PMHNP, ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 07/12/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
210 WHITING ST STE 6
HINGHAM MA
02043-3724
US
IV. Provider business mailing address
210 WHITING ST STE 6
HINGHAM MA
02043-3724
US
V. Phone/Fax
- Phone: 781-385-7790
- Fax:
- Phone: 781-385-7779
- Fax: 877-384-3122
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | 233938 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364S00000X |
| Taxonomy | Clinical Nurse Specialist |
| License Number | 233938 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: