Doctor Name: | CHRISTINE MCMACKIN |
NPI Number: | 1053792580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN283318 |
Business Practice Address: | 2 Pond Park Rd Ste 308 Hingham, MA - 020434354 |
Business Phone Number: | 7817407840 |
Business Fax Number: | |
Mailing Address: | 2 Pond Park Rd Ste 308, HINGHAM |
State: | MA |
Postal Code: | 020434354 |
Phone Number: | 7817407840 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2015 |
NPI Last Update Date: | 06/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN283318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |