Provider Demographics
NPI:1346824968
Name:HARTLEY, RACHEL (MSN, CRNP, CCRN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:MSN, CRNP, CCRN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:MEEKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:168 NATIONAL PLZ
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-1139
Mailing Address - Country:US
Mailing Address - Phone:614-271-9500
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
DCNP200002664363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program