Mackenzie Mullen Ross
Nurse Practitioner - Psychiatric/Mental Health
165 Lancaster St
Portland
, Maine 04101-2406
Mackenzie Mullen Ross
Nurse Practitioner - Psychiatric/Mental Health
165 Lancaster St
Portland
, Maine 04101-2406
(207) 874-1044
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mackenzie Mullen Ross
- 165 Lancaster St
- Portland, ME
- Zip : 04101-2406
- Fax : (207) 874-1044
- Phone : (207) 874-1030
Second Address
- Mackenzie Mullen Ross
- 165 Lancaster St
- Portland, ME
- Zip : 04101-2406
- Fax : (207) 874-1044
- Phone : (207) 874-1030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 2312246 | MA |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | CNP191293 | ME |
National Provider Identifier
| NPI | 1033627237 |
|---|---|
| Provider Name | Mackenzie Mullen Ross |
| First Address | Portland, ME 04101-2406 |
| Second Address | Portland, ME 04101-2406 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2018 |
| Last Update Date | 13/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.