Healthcare Provider Details

I. General information

NPI: 1366394199
Provider Name (Legal Business Name): RACHAEL SORGI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W LANCASTER AVE STE 300
DEVON PA
19333-1531
US

IV. Provider business mailing address

350 VILLAGE DR
KING OF PRUSSIA PA
19406-2081
US

V. Phone/Fax

Practice location:
  • Phone: 610-510-4881
  • Fax:
Mailing address:
  • Phone: 484-889-9082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP035286
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: