Individual
RACHAEL ELIZABETH ANSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 W BROADWAY ST FL 5, MISSOULA, MT 59802-4008
(406) 329-5828
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
MA061920
PA
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-125420
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15085471
CAQH
—
Enumeration date
01/28/2021
Last updated
06/15/2023
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