Mcclelland, Mckenzie Raquel

Mcclelland, Mckenzie Raquel is an sole proprietor health care provider with primary practice located at 940 Belmont St , Brockton MA 02301-5596. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Mcclelland, Mckenzie Raquel can be contacted via phone (774) 826-1424.

Contact Information

Primary practice address
940 Belmont St Brockton MA 02301-5596
Phone: (774) 826-1424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP10809 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP10809 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704343121 Michigan

Profile Details

NPI number 1073013645
LBN Legal business name Mcclelland, Mckenzie Raquel
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2018
Last updated Jun 16th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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