Provider Demographics
NPI:1518563766
Name:BICKNELL, RAQUEL NICOLE (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:NICOLE
Last Name:BICKNELL
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 N CONGRESS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3381
Mailing Address - Country:US
Mailing Address - Phone:561-840-4600
Mailing Address - Fax:561-840-4680
Practice Address - Street 1:4601 N CONGRESS AVE STE 200
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3381
Practice Address - Country:US
Practice Address - Phone:561-840-4600
Practice Address - Fax:561-840-4680
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008802363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily