Provider Demographics
NPI:1215379441
Name:SHAFFER, RACHAYL LEIGH (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHAYL
Middle Name:LEIGH
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6329 BURGUNDY LEAF LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-3918
Mailing Address - Country:US
Mailing Address - Phone:609-744-5134
Mailing Address - Fax:
Practice Address - Street 1:5 BEL AIR SOUTH PKWY
Practice Address - Street 2:SUITE 1535
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6091
Practice Address - Country:US
Practice Address - Phone:609-744-5134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2015-11-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant