Individual provider · Type 1 NPI

Brielle Mackay, PA-C

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1073362018 Active

Practice location

1800 Novell Pl
Provo, UT 84606-6171

Call (509) 808-1269 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073362018

Brielle Mackay, PA-C's National Provider Identifier is 1073362018, issued on May 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Mar 11, 2026.