Mackenzie, Marisa Taylor

Mackenzie, Marisa Taylor is an individual health care provider with primary practice located at 1255 Liberty St , Redding CA 96001-0814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mackenzie, Marisa Taylor can be contacted via phone (530) 246-2467.

Contact Information

Primary practice address
1255 Liberty St Redding CA 96001-0814
Phone: (530) 246-2467
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601006086 Michigan

Profile Details

NPI number 1447536933
LBN Legal business name Mackenzie, Marisa Taylor
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated Sep 9th, 2015 - about 9 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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