MEDICARE: RACHEL C BOWERS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PA1223	NV
2	363A00000X	Physician Assistant	PA1223
3	363AM0700X	Medical Physician Assistant	PA1223	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	K24407	OTHER	NV	PALMETTO GBA J1

General Provider Information

NPI Number	:	1093743510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL C BOWERS PA

Provider Business Mailing Address
First Line	:	7500 SMOKE RANCH RD
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0324
Country	:	US
Telephone Number	:	702-233-0727
Fax Number	:	702-233-4799

Provider Business Practice Location Address
First Line	:	7500 SMOKE RANCH RD
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0324
Country	:	US
Telephone Number	:	702-233-0727
Fax Number	:	702-233-4799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	04/24/2023

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Directions to “ RACHEL C BOWERS PA” Practice Location

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