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Individual
RACHAEL ERIN PRENDERGAST
Active
Individual
RACHAEL ERIN PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PNP-AC
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
SP018433
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN04116
RI
363LP0200X
Pediatric Nurse Practitioner
RN2288750
MA
Other
Enumeration date
01/04/2018
Last updated
08/07/2024
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