Provider Demographics
NPI:1558713735
Name:SPELLMAN, RACHEL MALINDA (CRNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MALINDA
Last Name:SPELLMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MALINDA
Other - Last Name:STORM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:303 SHARP RD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-1481
Mailing Address - Country:US
Mailing Address - Phone:410-463-9418
Mailing Address - Fax:833-914-0408
Practice Address - Street 1:303 SHARP RD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-1481
Practice Address - Country:US
Practice Address - Phone:410-463-9418
Practice Address - Fax:833-914-0408
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR183061363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily