Healthcare Provider Details

I. General information

NPI: 1255958005
Provider Name (Legal Business Name): RACHELLE ELIZABETH MCCABE DNP, ARNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2020
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 DUFF AVE STE 2607
AMES IA
50010-5745
US

IV. Provider business mailing address

1316 S MAIN ST
CLARION IA
50525-2019
US

V. Phone/Fax

Practice location:
  • Phone: 515-327-2000
  • Fax: 515-327-2019
Mailing address:
  • Phone: 515-602-9833
  • Fax: 319-343-1161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA159466
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: