Healthcare Provider Details

I. General information

NPI: 1215596788
Provider Name (Legal Business Name): RACHEL ISABELLA DE LIMA MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL ISABELLA WITT

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 W BROAD ST
COLUMBUS OH
43204-1306
US

IV. Provider business mailing address

8901 PATTERSON LOOP
REYNOLDSBURG OH
43068-8013
US

V. Phone/Fax

Practice location:
  • Phone: 614-869-2002
  • Fax:
Mailing address:
  • Phone: 614-306-0825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0032243
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.452563
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: