Healthcare Provider Details

I. General information

NPI: 1841598547
Provider Name (Legal Business Name): RACHEL J WEBER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL CENGIA PA

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9005 GRANT ST STE 200
THORNTON CO
80229-4300
US

IV. Provider business mailing address

9005 GRANT ST STE 200
THORNTON CO
80229-4384
US

V. Phone/Fax

Practice location:
  • Phone: 303-287-2800
  • Fax: 303-287-7357
Mailing address:
  • Phone: 303-287-2800
  • Fax: 303-287-7357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-3178
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: