Doctor Name: | RACHEL CARLSON |
NPI Number: | 1043253321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.,C |
License Number: | PA16491 |
Business Practice Address: | 6480 Pentz Rd Suite B Paradise, CA - 959693672 |
Business Phone Number: | 5308779326 |
Business Fax Number: | 5308772196 |
Mailing Address: | Po Box 7555, Suite A CHICO |
State: | CA |
Postal Code: | 959277555 |
Phone Number: | 5308988088 |
Fax Number: | 5308988087 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA16491 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |