Provider Demographics
NPI:1326771502
Name:RESNICK, RACHEL (PA-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:RESNICK
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4545 E 9TH AVE STE 510
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3910
Mailing Address - Country:US
Mailing Address - Phone:303-321-0700
Mailing Address - Fax:303-321-0811
Practice Address - Street 1:4545 E 9TH AVE STE 510
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3910
Practice Address - Country:US
Practice Address - Phone:303-321-0700
Practice Address - Fax:303-321-0811
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0007846363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant