Individual
RACHELLE M PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 670-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5103-023
WI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148036
—
WI
Enumeration date
10/12/2020
Last updated
01/20/2025
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