Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rachel Nicole Gaudreault, PA-C

Individual provider Physician Assistant · NPI 1588255772

Rachel Nicole Gaudreault, PA-C is a Physician Assistant in Maryville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6800 State Route 162
Maryville, IL 62062-8500
Phone: (618) 570-9021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085008785 (IL)

Record details

NPI number1588255772
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 29, 2021
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022

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