Provider Demographics
NPI:1326384496
Name:CHARRON, RACHAEL HANNA CATHERINE (MSN, CPNP)
Entity Type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:HANNA CATHERINE
Last Name:CHARRON
Suffix:
Gender:F
Credentials:MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24279 PURPLE FINCH DR
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-5913
Mailing Address - Country:US
Mailing Address - Phone:443-340-8088
Mailing Address - Fax:
Practice Address - Street 1:20955 PROFESSIONAL PLZ
Practice Address - Street 2:# 200
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-3405
Practice Address - Country:US
Practice Address - Phone:443-340-8088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170502363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics