Provider Demographics
NPI:1720643158
Name:WEYANT, RACHEL ALLISON (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:ALLISON
Last Name:WEYANT
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:160 MILLERS RUN RD STE 500
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1358
Mailing Address - Country:US
Mailing Address - Phone:412-564-5444
Mailing Address - Fax:412-564-5478
Practice Address - Street 1:160 MILLERS RUN RD STE 500
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1358
Practice Address - Country:US
Practice Address - Phone:412-564-5444
Practice Address - Fax:412-564-5478
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA060383363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant