Individual
RACHEL MCCLEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3278
(321) 434-7000
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11003530
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11003530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107097400
—
FL
01
—
OJ513
FL HF MEDICARE
FL
Enumeration date
09/26/2019
Last updated
10/04/2023
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