Provider Demographics
NPI:1124234992
Name:EKROOS, RACHELL ANN (MSN ARNP-BC AFN-BC)
Entity type:Individual
Prefix:
First Name:RACHELL
Middle Name:ANN
Last Name:EKROOS
Suffix:
Gender:F
Credentials:MSN ARNP-BC AFN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10624 S EASTERN AVE # A-793
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2982
Mailing Address - Country:US
Mailing Address - Phone:866-353-2363
Mailing Address - Fax:
Practice Address - Street 1:10624 S EASTERN AVE # A-793
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2982
Practice Address - Country:US
Practice Address - Phone:866-353-2363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007307363LF0000X
NVAPRN001568363LF0000X
CANP23219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily