Provider Demographics
NPI:1720253420
Name:TESTER, RACHEL (APRN)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:TESTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:DEVENEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:115 MILL ST
Mailing Address - Street 2:PROCTOR 318
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-1064
Mailing Address - Country:US
Mailing Address - Phone:617-855-2215
Mailing Address - Fax:
Practice Address - Street 1:115 MILL ST
Practice Address - Street 2:PROCTOR 318
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-1064
Practice Address - Country:US
Practice Address - Phone:617-855-2215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256969364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult