Doctor Name: | ROMAINE MACKEY |
NPI Number: | 1700894045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1059304 |
Business Practice Address: | 4055 Al Highway 9 Suite F Cedar Bluff, AL - 359595099 |
Business Phone Number: | 2567796057 |
Business Fax Number: | |
Mailing Address: | Po Box 97, GADSDEN |
State: | AL |
Postal Code: | 359020097 |
Phone Number: | 2564920131 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 03/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1059304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |