MCKENZIE RAQUEL MCCLELLAND AG-ACNP NPI 1073013645

NPI Information

  • NPI: 1073013645
  • Provider Name: MCKENZIE RAQUEL MCCLELLAND, AG-ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • Address: 940 BELMONT ST
    BROCKTON, MA
    ZIP 02301
  • Phone: (774) 826-1424

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NPI Details

Mckenzie Raquel Mcclelland, AG-ACNP is an acute care nurse practitioner in Brockton, MA. Mckenzie Raquel Mcclelland, AG-ACNP NPI is 1073013645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

940 BELMONT ST
BROCKTON, MA
ZIP 02301-596
Phone: (774) 826-1424

The enumeration date for this NPI number is 2/20/2018 and was last updated on 6/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareAP10809ARIZONANo
2363LA2200XNurse PractitionerAdult HealthAP10809ARIZONANo
3363LA2100XNurse PractitionerAcute Care4704343121MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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