Doctor Name: | MRS. DEANN MACKEY |
NPI Number: | 1053456434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 211234-3102 |
Business Practice Address: | 20 S 100 W Mount Pleasant, UT - 846471507 |
Business Phone Number: | 4354629204 |
Business Fax Number: | 4354629204 |
Mailing Address: | 675 W 40 N, MANTI |
State: | UT |
Postal Code: | 846421322 |
Phone Number: | 4358356045 |
Fax Number: | 4358352231 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 211234-3102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |