Provider Demographics
NPI:1144885849
Name:FEATHERSTONE, RACHEL DAOU (MSN, PMHNP, WHNP,)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:DAOU
Last Name:FEATHERSTONE
Suffix:
Gender:F
Credentials:MSN, PMHNP, WHNP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 NICEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2222
Mailing Address - Country:US
Mailing Address - Phone:208-779-7019
Mailing Address - Fax:833-989-0917
Practice Address - Street 1:8010 NICEWOOD RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-2222
Practice Address - Country:US
Practice Address - Phone:208-779-7019
Practice Address - Fax:833-989-0917
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-08
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24177579363LP0808X, 363LW0102X
ID66507363LW0102X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health