Provider Demographics
NPI:1881840627
Name:SECCIA, RACHEL M (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:SECCIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARIE
Other - Last Name:COVACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7887 E BELLEVIEW AVE
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6015
Mailing Address - Country:US
Mailing Address - Phone:720-283-6700
Mailing Address - Fax:720-204-5550
Practice Address - Street 1:7887 E BELLEVIEW AVE
Practice Address - Street 2:SUITE 1100
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-6015
Practice Address - Country:US
Practice Address - Phone:720-283-6700
Practice Address - Fax:720-204-5550
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2633363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant