Individual provider · Type 1 NPI

Rachel Chacko, AGACNP-BC, CCRN

Nurse Practitioner · Detroit, MI

NPI number 1043065964 Active

Practice location

3990 John R St
Detroit, MI 48201-2018

Fax (313) 745-3500

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X4704350190 (MI)
Acute Care Nurse Practitioner 363LA2100X4704350190 (MI)
Nurse Practitioner Primary 363L00000X4704350190 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043065964

Rachel Chacko, AGACNP-BC, CCRN's National Provider Identifier is 1043065964, issued on Apr 23, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 23, 2024.