Provider Demographics
NPI:1912615394
Name:MCLEAN, RACHEL VIRGINIA (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:VIRGINIA
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 LARCHMONT LN
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1918
Mailing Address - Country:US
Mailing Address - Phone:781-733-3242
Mailing Address - Fax:
Practice Address - Street 1:163 LARCHMONT LN
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1918
Practice Address - Country:US
Practice Address - Phone:781-733-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2316481163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care