Provider Demographics
NPI:1063821064
Name:PEKLINSKY, RACHELLE MAE (FNP-BC)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:MAE
Last Name:PEKLINSKY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:
Other - Last Name:CARELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3016 TALL PINE DR
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-5231
Mailing Address - Country:US
Mailing Address - Phone:724-601-8024
Mailing Address - Fax:
Practice Address - Street 1:5771 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3407
Practice Address - Country:US
Practice Address - Phone:727-467-7423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV79102363LF0000X
FLAPRN11019159363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV02045680000Medicaid
WVCH6378OtherRAILROAD MEDICARE
WV02045680000Medicaid