Provider Demographics
NPI:1891584520
Name:KELLY, RACHEL DANAE (DNP PMHNP)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:DANAE
Last Name:KELLY
Suffix:
Gender:
Credentials:DNP PMHNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:DANAE
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1437 EASTHILLS TER
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-4624
Mailing Address - Country:US
Mailing Address - Phone:253-326-7549
Mailing Address - Fax:
Practice Address - Street 1:1437 EASTHILLS TER
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-4624
Practice Address - Country:US
Practice Address - Phone:253-326-7549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPENDING363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health