Macbrayne, Michael

Macbrayne, Michael is an sole proprietor health care provider with primary practice located at 5224 W Dove Centre Rd , Marana AZ 85658-5063. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Macbrayne, Michael can be contacted via phone (520) 616-1445.

Contact Information

Primary practice address
5224 W Dove Centre Rd Marana AZ 85658-5063
Phone: (520) 616-1445
Fax: (520) 616-1446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2010019097 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP9909 Arizona

Profile Details

NPI number 1932420379
LBN Legal business name Macbrayne, Michael
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2010
Last updated Sep 29th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932420379 NPPES
Arizona MEDICAID 246176

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