Individual provider · Type 1 NPI

Marisa Taylor Mackenzie, PA

Medical Physician Assistant · Redding, CA

NPI number 1447536933 Active

Practice location

1255 Liberty St
Redding, CA 96001-0814

Mailing address

PO Box 991950
Redding, CA 96099-1950

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601006086 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1447536933

Marisa Taylor Mackenzie, PA's National Provider Identifier is 1447536933, issued on Oct 27, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Redding, CA. The record was last updated on Sep 9, 2015.