Individual
RACHEL ANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 MERCHANT ST STE 200, WINCHESTER, VA 22603-4772
(540) 536-5950
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001659
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001659
STATE LICENSE
VA
Enumeration date
05/04/2006
Last updated
02/27/2021
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