Individual provider · Type 1 NPI
Mackenzie Mullen Ross, NP
Psychiatric/Mental Health Nurse Practitioner · Portland, ME
NPI number
1033627237
Active
Practice location
165 Lancaster St
Portland, ME 04101-2406
Fax (207) 874-1044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN2312246 (MA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2312246 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CNP191293 (ME) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033627237
Mackenzie Mullen Ross, NP's National Provider Identifier is 1033627237, issued on Jan 22, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, ME. The record was last updated on Jan 13, 2020.