Thomas Alexandeer Mackean in Lake Park - Nurse Practitioner

Thomas Alexandeer Mackean - NPI 1356318265

Thomas Alexandeer Mackean is a Nurse Practitioner in Lake Park, Georgia. Thomas Alexandeer Mackean practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Thomas Alexandeer Mackean is 1356318265. The last update date is 2015-04-01.

Thomas Alexandeer Mackean's current location address is Po Box 889, Lake Park, Georgia. You can contact this provider via phone number 2292429003 and fax number 2292420490. The mailing address for Thomas Alexandeer Mackean is Po Box 889, Lake Park, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Alexandeer Mackean
Address Po Box 889, Lake Park, Georgia
Phone Number 2292429003
Fax Number 2292420490
Sole Proprietor Y
Credentials FNPC

NPI Number Detail

NPI Number 1356318265
Provider Enumeration Date 2006-03-01
Last Updated Date 2015-04-01

Provider Mailing Address Detail

Address Po Box 889
City Lake Park
State Georgia (GA)
Post Code 316360889
Phone Number 2292429003
Fax Number 2292420490

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No RN146046
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
618616123A GA --

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FAQs about Thomas Alexandeer Mackean

What is the Thomas Alexandeer Mackean's 1356318265?

The Thomas Alexandeer Mackean's NPI (National Provider Identifier) Number is 1356318265. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Thomas Alexandeer Mackean is geographically located?

The Thomas Alexandeer Mackean is physically situated at the following location: Po Box 889, Lake Park, GA, 316360889.

What is the Thomas Alexandeer Mackean's area of specialization and corresponding taxonomy classification?

The Thomas Alexandeer Mackean's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.

On what date did the Thomas Alexandeer Mackean receive its 1356318265 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Alexandeer Mackean was assigned its 1356318265 by the Centers for Medicare & Medicaid Services on 2006-03-01.

When was the information regarding Thomas Alexandeer Mackean, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Thomas Alexandeer Mackean, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-01.

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