Provider Demographics
NPI:1578967675
Name:FARMER, RACHEL D'ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:D'ANN
Last Name:FARMER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 COIT RD STE 203
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0503
Mailing Address - Country:US
Mailing Address - Phone:469-800-7070
Mailing Address - Fax:469-800-7080
Practice Address - Street 1:4401 COIT RD STE 203
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0503
Practice Address - Country:US
Practice Address - Phone:469-800-7070
Practice Address - Fax:469-800-7080
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ363A00000X
AZ6448363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ223932Medicaid