MCKENZIE RAQUEL MCCLELLAND AG-ACNP NPI 1073013645

NPI Information

NPI: 1073013645
Provider Name: MCKENZIE RAQUEL MCCLELLAND, AG-ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

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

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 NPI 1073013645 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

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
1	363LA2100X	Nurse Practitioner	Acute Care	AP10809	ARIZONA	No
2	363LA2200X	Nurse Practitioner	Adult Health	AP10809	ARIZONA	No
3	363LA2100X	Nurse Practitioner	Acute Care	4704343121	MICHIGAN	Yes

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »