Provider Demographics
NPI:1235467119
Name:PEABODY, RACHEL LYNNE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:LYNNE
Last Name:PEABODY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1140 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2160
Mailing Address - Country:US
Mailing Address - Phone:412-364-4402
Mailing Address - Fax:412-364-3850
Practice Address - Street 1:1140 PERRY HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2160
Practice Address - Country:US
Practice Address - Phone:412-364-4402
Practice Address - Fax:412-364-3850
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2015-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA053935363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical