Provider Demographics
NPI:1760760185
Name:MENDENHALL, RACHEL BETH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:BETH
Last Name:MENDENHALL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:2021 BANEY RD S
Mailing Address - Street 2:SUITE A
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-4574
Mailing Address - Country:US
Mailing Address - Phone:419-289-1133
Mailing Address - Fax:419-289-1132
Practice Address - Street 1:2021 BANEY RD S
Practice Address - Street 2:SUITE A
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-4574
Practice Address - Country:US
Practice Address - Phone:419-289-1133
Practice Address - Fax:419-289-1132
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH003299363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical