Individual provider · Type 1 NPI

Marly Mackles

Certified Registered Nurse Anesthetist · Phelan, CA

NPI number 1811893191 Active

Practice location

4730 Amador Rd
Phelan, CA 92371-7000

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X95002990 (CA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

Another provider at this address

About NPI 1811893191

Marly Mackles's National Provider Identifier is 1811893191, issued on Oct 15, 2026. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Phelan, CA. The record was last updated on Oct 15, 2026.