| Doctor Name: | RACHEL RAABE DESTITO |
| NPI Number: | 1699944389 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP BC |
| License Number: | 1010029560 |
| Business Practice Address: | 89 Main St Essex Jct, VT - 054523207 |
| Business Phone Number: | 8028796556 |
| Business Fax Number: | 8028727021 |
| Mailing Address: | 89 Main St, ESSEX JCT |
| State: | VT |
| Postal Code: | 054523207 |
| Phone Number: | 8028796556 |
| Fax Number: | 8028728021 |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 02/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1010029560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |