Prandi, Mackenzie
Prandi, Mackenzie is an individual health care provider with primary practice located at 1802 Braeburn Dr , Salem VA 24153-7357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Prandi, Mackenzie can be contacted via phone (540) 772-3530.Contact Information
Primary practice address
1802 Braeburn Dr
Salem VA 24153-7357
Phone: (540) 772-3530
Fax: (540) 776-2036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110002209 | Virginia |
Profile Details
| NPI number | 1659342327 |
|---|---|
| LBN Legal business name | Prandi, Mackenzie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jan 4th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659342327 | NPPES |
| Virginia | Other | P00304575 | MEDICARE RAILROAD |
| Virginia | MEDICAID | 1659342327 | MEDICARE RAILROAD |
| Virginia | MEDICAID | 010244161 | MEDICARE RAILROAD |
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