Provider Demographics
NPI:1881283893
Name:REYNOLDS, RACHEL ARLENE (NP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ARLENE
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-3018
Mailing Address - Country:US
Mailing Address - Phone:607-743-9354
Mailing Address - Fax:302-468-1911
Practice Address - Street 1:314 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734-7702
Practice Address - Country:US
Practice Address - Phone:302-534-5856
Practice Address - Fax:302-468-1911
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2025-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0010713363LP0808X
DELG-0011540363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner