Healthcare Provider Details

I. General information

NPI: 1881926194
Provider Name (Legal Business Name): RACHEL SCHMELA PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2010
Last Update Date: 02/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 E KENTUCKY AVE
DENVER CO
80246-2365
US

IV. Provider business mailing address

6053 S PARIS ST
GREENWOOD VILLAGE CO
80111-4118
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-0101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number169021
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: