| Doctor Name: | RACHEL LYNN MENKE |
| NPI Number: | 1528374188 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 100028 |
| Business Practice Address: | 234 Cody Ln Basalt, CO - 816219106 |
| Business Phone Number: | 9709452840 |
| Business Fax Number: | 9709452893 |
| Mailing Address: | 1905 Blake Ave, Suite 101 GLENWOOD SPRINGS |
| State: | CO |
| Postal Code: | 816014288 |
| Phone Number: | 9709452840 |
| Fax Number: | 9709452893 |
| NPI Enumeration Date: | 08/20/2010 |
| NPI Last Update Date: | 12/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 100028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |