NPI Profile for CHRISTINE WILLEY MACKO in PENSACOLA , FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Occupational Health |
163WX0106X | |||
Ambulatory Care |
163WP2201X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Gastroenterology |
163WG0100X | |||
Registered Nurse |
163W00000X |
| NPI Number | 1952702383 |
|
| Status | Active | |
| Credentials | BSN, RN-BC | |
| Entity | Individual | |
| Enumeration date | 09/04/2014 | |
| Last updated | 09/04/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |