Provider Demographics
NPI:1043195829
Name:COLLINS, RAECHELLE LYNNETTE (PMHNP)
Entity type:Individual
Prefix:
First Name:RAECHELLE
Middle Name:LYNNETTE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7739 BRATCHER POINT CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-5123
Mailing Address - Country:US
Mailing Address - Phone:702-587-7943
Mailing Address - Fax:
Practice Address - Street 1:6540 S PECOS RD BLDG A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2810
Practice Address - Country:US
Practice Address - Phone:725-726-8216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVTEMP892760363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health