Individual
RACHEL CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, CCRN
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-5111
(313) 745-3500
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-5111
(313) 745-3500
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704350190
MI
363L00000X
Nurse Practitioner
Primary
4704350190
MI
363LA2100X
Acute Care Nurse Practitioner
4704350190
MI
Other
Enumeration date
04/23/2024
Last updated
10/23/2024
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