Provider Demographics
NPI:1184117400
Name:DECOSTA, RACHEL (FNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:DECOSTA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SILVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23750 E 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1969
Mailing Address - Country:US
Mailing Address - Phone:303-812-5200
Mailing Address - Fax:303-272-0262
Practice Address - Street 1:23750 E 14TH AVE STE 250
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-1973
Practice Address - Country:US
Practice Address - Phone:303-812-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993919-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COMD4884082OtherDEA