ELLEN RAE MACKINNON CNS-NP NPI 1861936049

NPI Information

NPI: 1861936049
Provider Name: ELLEN RAE MACKINNON, CNS-NP
Classification: Clinical Nurse Specialist - 364SA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
120 E HOWARD ST
DRIGGS, ID
ZIP 83422
Phone: (208) 354-6354
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Ellen Rae Mackinnon, CNS-NP is an acute care clinical nurse specialist in Driggs, ID with 8 years of experience. Ellen Rae Mackinnon, CNS-NP NPI is 1861936049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 E HOWARD ST
DRIGGS, ID
ZIP 83422-112
Phone: (208) 354-6354
Fax: (208) 354-2228

The NPI 1861936049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/7/2016 and was last updated on 7/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	APN992817	COLORADO	No
2	364SA2100X	Clinical Nurse Specialist	Acute Care	APN992817	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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