Provider Demographics
NPI:1447927975
Name:GERMANO, RACHEL LYNETTE (FNP-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNETTE
Last Name:GERMANO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:FORESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 EASTDALE AVE N
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-1694
Mailing Address - Country:US
Mailing Address - Phone:845-437-5000
Mailing Address - Fax:
Practice Address - Street 1:50 EASTDALE AVE N
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-1694
Practice Address - Country:US
Practice Address - Phone:845-437-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF348162-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily