Ross, Mackenzie Mullen

Ross, Mackenzie Mullen is an individual health care provider with primary practice located at 165 Lancaster St , Portland ME 04101-2406. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ross, Mackenzie Mullen can be contacted via phone (207) 874-1030.

Contact Information

Primary practice address
165 Lancaster St Portland ME 04101-2406
Phone: (207) 874-1030
Fax: (207) 874-1044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN2312246 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2312246 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP191293 Maine

Profile Details

NPI number 1033627237
LBN Legal business name Ross, Mackenzie Mullen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2018
Last updated Jan 13th, 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.

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