Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rachel Kathleen Girouard

Individual provider Nurse Practitioner · NPI 1104602085

Rachel Kathleen Girouard is a Nurse Practitioner in Wolcott, Connecticut. Qualified in 2023, 3 years ago. Practices with Advanced Dermatology Center, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023

Practice location Address checks out

464 Wolcott Rd Ste 3
Wolcott, CT 06716-2663
Phone: (203) 879-6171
Fax: (203) 879-1191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AG07230060 (CT)

Record details

NPI number1104602085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advanced Dermatology Center, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount