Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RAEQUEL ALLYSSA MADARA, PMHNP, LCSW
Active Sole ProprietorMRS. RAEQUEL ALLYSSA MADARA, PMHNP, LCSW is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SHILLINGTON, Pennsylvania. NPI 1427399377 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SHILLINGTON, PA
Registration Details
- NPI Number
- 1427399377
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2013 (13.411830761347 yrs)
- Last Updated
- Sep 19, 2025
- Licenses
-
CW017538 (PA)SP032464 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
527 E LANCASTER AVESHILLINGTON, PA, 196071364Browse PA providers · Browse ZIP 19607
- Phone
- 6107968110
- Fax
- 6107969130
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.