Healthcare Provider Details

I. General information

NPI: 1093743510
Provider Name (Legal Business Name): RACHEL C BOWERS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 SMOKE RANCH RD SUITE 200
LAS VEGAS NV
89128-0324
US

IV. Provider business mailing address

7500 SMOKE RANCH RD SUITE 200
LAS VEGAS NV
89128-0324
US

V. Phone/Fax

Practice location:
  • Phone: 702-233-0727
  • Fax: 702-233-4799
Mailing address:
  • Phone: 702-233-0727
  • Fax: 702-233-4799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA1223
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1223
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA1223
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: