Provider Demographics
NPI:1215662689
Name:PATAKY, RACHAEL MICHELLE (FNP-C, CRNP)
Entity type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:MICHELLE
Last Name:PATAKY
Suffix:
Gender:F
Credentials:FNP-C, CRNP
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:MICHELLE
Other - Last Name:TASIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3824 NORTHERN PIKE STE 700
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2184
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:
Practice Address - Street 1:3824 NORTHERN PIKE STE 200
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2173
Practice Address - Country:US
Practice Address - Phone:412-380-2800
Practice Address - Fax:412-380-2812
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025937363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily