Provider Demographics
NPI:1104081991
Name:GLADHART, RACHEL CHRISTINE (MS, CNM)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:CHRISTINE
Last Name:GLADHART
Suffix:
Gender:F
Credentials:MS, CNM
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 SALMON CREEK LN
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-7864
Mailing Address - Country:US
Mailing Address - Phone:907-586-2434
Mailing Address - Fax:907-586-2446
Practice Address - Street 1:1801 SALMON CREEK LN
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7864
Practice Address - Country:US
Practice Address - Phone:907-586-2434
Practice Address - Fax:907-586-2446
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1037367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife