Mackinnon, Ellen Rae

Mackinnon, Ellen Rae is an individual health care provider with primary practice located at 120 E Howard St , Driggs ID 83422-5112. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Mackinnon, Ellen Rae can be contacted via phone (208) 354-6354.

Contact Information

Primary practice address
120 E Howard St Driggs ID 83422-5112
Phone: (208) 354-6354
Fax: (208) 354-2228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN992817 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X APN992817 Colorado

Profile Details

NPI number 1861936049
LBN Legal business name Mackinnon, Ellen Rae
Credentials CNS-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2016
Last updated Jul 7th, 2022 - 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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