IndividualActive
Andrew Rackham, PA
NPI 1831556190 · Surgical Physician Assistant · Henderson, NV
Provider details
- NPI number
- 1831556190
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA1704 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2839 Saint Rose Pkwy Ste 100
Henderson, NV 89052-4849
Phone: (702) 837-8988
Fax: (702) 990-5269
Approximate (ZIP-level) locationGet directions
Mailing address
2839 Saint Rose Pkwy Ste 100
Henderson, NV 89052-4849
Registry dates
- Enumerated
- 2016-01-18
- Last updated
- 2024-11-27
- Certified
- 2024-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.