Paul S Mackinnon in Worcester - Nurse Practitioner

Paul S Mackinnon - NPI 1528029246

Paul S Mackinnon is a Nurse Practitioner in Worcester, Massachusetts. Paul S Mackinnon practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Paul S Mackinnon is 1528029246. The last update date is 2007-07-08.

Paul S Mackinnon's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5088565256. The mailing address for Paul S Mackinnon is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul S Mackinnon
Address 55 Lake Ave N, Worcester, Massachusetts
Phone Number 5088565256
Fax Number
Sole Proprietor X
Credentials NP

NPI Number Detail

NPI Number 1528029246
Provider Enumeration Date 2006-03-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 55 Lake Ave N
City Worcester
State Massachusetts (MA)
Post Code 16550002
Phone Number 5088565256
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 187538
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
391671 MA --

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FAQs about Paul S Mackinnon

What is the unique identifier code issued to Paul S Mackinnon by the Centers for Medicare & Medicaid Services (CMS)?

The Paul S Mackinnon has been assigned the NPI (National Provider Identifier) 1528029246. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Paul S Mackinnon is physically located?

The Paul S Mackinnon is physically situated at the following address: 55 Lake Ave N, Worcester, MA, 16550002.

What is Paul S Mackinnon's area of expertise and its corresponding taxonomy classification?

The Paul S Mackinnon's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Paul S Mackinnon receive its 1528029246 assignment from the Centers for Medicare & Medicaid Services?

The Paul S Mackinnon was assigned its 1528029246 by the Centers for Medicare & Medicaid Services on 2006-03-31.

When was the Paul S Mackinnon's information last updated?

The Paul S Mackinnon's information was last updated on 2007-07-08.

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