Provider Demographics
NPI:1407263304
Name:CONNER, RACHEL (PA-C)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:CONNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:BENEDETTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:214 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1928
Mailing Address - Country:US
Mailing Address - Phone:781-585-2172
Mailing Address - Fax:781-585-5148
Practice Address - Street 1:214 MAIN ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1928
Practice Address - Country:US
Practice Address - Phone:781-585-2172
Practice Address - Fax:781-585-5148
Is Sole Proprietor?:No
Enumeration Date:2014-07-13
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant