Individual
MRS. RACHEL KATHRYN MARIE MIZELL ERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5659 PARKWAY DR STE 100, GLOUCESTER, VA 23061-3792
(804) 381-4361
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00331
NC
363A00000X
Physician Assistant
Primary
0110004699
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-00331
NC MEDICAL PROVIDER
NC
Enumeration date
03/02/2006
Last updated
12/04/2025
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