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NPI Code Detail

MEDICARE: RACHEL PRADARELLI

MEDICARE: RACHEL PRADARELLI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerG-1918NM
2363LF0000XFamily Nurse Practitioner95015654CA

General Provider Information

NPI Number : 1942809256
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL PRADARELLI
Provider Business Mailing Address
First Line : 261 LAKEVILLE CIR
Second Line :
City : PETALUMA
State : CA
Zip : 94954-5720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1179 N MCDOWELL BLVD
Second Line :
City : PETALUMA
State : CA
Zip : 94954-6559
Country : US
Telephone Number : 707-559-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2020
Last Update Date : 12/15/2025

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Directions to “ RACHEL PRADARELLI ” Practice Location

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