Provider Demographics
NPI:1114107620
Name:STRANATHAN, RACHEL J (PA C)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:J
Last Name:STRANATHAN
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:J
Other - Last Name:DANNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 529
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:CO
Mailing Address - Zip Code:81425-0529
Mailing Address - Country:US
Mailing Address - Phone:970-323-6141
Mailing Address - Fax:970-323-6117
Practice Address - Street 1:1010 S RIO GRANDE AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4831
Practice Address - Country:US
Practice Address - Phone:970-497-3333
Practice Address - Fax:855-299-7837
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0002513363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01316580OtherRAILROAD WORKES MEDICARE PTAN FOR OLATHE COMM CLINIC DBA RIVER VALLEY FAMILY
CO63884224Medicaid
P01316580OtherRAILROAD WORKES MEDICARE PTAN FOR OLATHE COMM CLINIC DBA RIVER VALLEY FAMILY