Individual
MRS. RACHEL ELIZABETH BRUMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
428 W VOTAW ST, PORTLAND, IN 47371-1302
(260) 726-8822
Mailing address
1200 W WHITE RIVER BLVD, RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002815A
IN
Other
Enumeration date
10/24/2019
Last updated
01/10/2020
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