Individual
MS. RACHAEL MCKINNON WHITTEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 CAMPUS BLVD STE 210, WINCHESTER, VA 22601-6906
(540) 536-3470
(540) 536-3471
Mailing address
220 CAMPUS BLVD STE 210, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-007640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-007640
VIRGINIA MEDICAL LICENSE
VA
01
—
1180885
NCCPA ID
—
Enumeration date
02/06/2020
Last updated
12/06/2022
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