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Contact Information

ELLEN R MACKINNON, CNS-NP
120 E HOWARD ST
DRIGGS, ID83422-5112
 Phone: 208-354-6354
 Fax: 208-354-2228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELLEN R MACKINNON · (Female)

NPI Number 1861936049
Status Active
Credentials CNS-NP
Entity Individual
Enumeration date 12/07/2016
Last updated 07/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # APN992817
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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