Healthcare Provider Details

I. General information

NPI: 1144623174
Provider Name (Legal Business Name): RACHEL MARIE SCACCHETTI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2014
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 BELMONT AVE
YOUNGSTOWN OH
44502-1037
US

IV. Provider business mailing address

208 E PARK AVE
HUBBARD OH
44425-1623
US

V. Phone/Fax

Practice location:
  • Phone: 330-744-2991
  • Fax:
Mailing address:
  • Phone: 330-534-9098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0030793
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number405427
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: