Provider Demographics
NPI:1508307000
Name:BRANAS, RACHEL COLLEEN LITTLE (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:COLLEEN LITTLE
Last Name:BRANAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:COLLEEN
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DIVORCED
Mailing Address - Street 1:300 BRIGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:15074-2165
Mailing Address - Country:US
Mailing Address - Phone:724-774-7110
Mailing Address - Fax:724-935-0331
Practice Address - Street 1:CCP SEWICKLEY
Practice Address - Street 2:111 HAZEL LANE SUIT 201
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1652
Practice Address - Country:US
Practice Address - Phone:725-774-7110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA058854363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant