EMMERLL RACKLEY NP - NPI 1538346994 - Nurse Practitioner in Kingman, AZ

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

On this page

About Emmerll Rackley Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMERLL RACKLEY NP (NPI 1538346994) is an individual psychiatric/mental health provider in Kingman, Arizona, licensed in Arizona (AP3654) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1538346994

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEMMERLL RACKLEYCredential: NP

Location Address1741 SYCAMORE AVE, 3508 WESTERN AVEKingman, AZ 86409-0927

Mailing Address3505 Western AveKingman, AZ 86409-3011 · (928) 757-8111 · Fax (928) 757-1199

Phone(928) 757-8111

Fax(928) 757-1199

Sole ProprietorYes

Enumeration DateJanuary 29, 2008

Last NPPES UpdateJune 2, 2011

✔ NPI 1538346994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in AZ · AP3654✔ Licensed in MD · R184121

1741 SYCAMORE AVE, Kingman, AZ 86409

Open in Google Maps ↗

Other Identifiers 1

Medicaid519975AZ

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELIA RODRIGUEZ M.D.

Psychiatry & Neurology (Psychiatry)