Douglass, Mackenzie E

Douglass, Mackenzie E is an individual health care provider with primary practice located at 1505 Soquel Dr Ste 1 , Santa Cruz CA 95065-1716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Douglass, Mackenzie E can be contacted via phone (831) 465-5440.

Contact Information

Primary practice address
1505 Soquel Dr Ste 1 Santa Cruz CA 95065-1716
Phone: (831) 465-5440
Fax: (831) 462-2017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN.CNM.019342 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209.010345 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 95212458 California

Profile Details

NPI number 1922446889
LBN Legal business name Douglass, Mackenzie E
Credentials MSN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated Jul 31st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers