Provider Demographics
NPI:1376647909
Name:KACIN, RAQUEL RENEE (APN)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:RENEE
Last Name:KACIN
Suffix:
Gender:F
Credentials:APN
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Other - Credentials:
Mailing Address - Street 1:40 BURTON HILLS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6155
Mailing Address - Country:US
Mailing Address - Phone:615-565-1733
Mailing Address - Fax:615-296-0151
Practice Address - Street 1:247 BLUFFS AVE
Practice Address - Street 2:BLDG 1
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2455
Practice Address - Country:US
Practice Address - Phone:775-753-1049
Practice Address - Fax:775-777-8494
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2022-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVRN25040163WG0000X
NVAPRN000865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice