Provider Demographics
NPI:1437855475
Name:POWELL, RACHEL ANNE (AGACNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:POWELL
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:A
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AGACNP
Mailing Address - Street 1:1925 GLENN MITCHELL DR STE 206
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-0177
Mailing Address - Country:US
Mailing Address - Phone:757-507-0720
Mailing Address - Fax:
Practice Address - Street 1:1925 GLENN MITCHELL DR STE 206
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-0177
Practice Address - Country:US
Practice Address - Phone:757-507-0720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024185664363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care