Individual provider · Type 1 NPI
Ellen Rae Mackinnon, CNS-NP
Acute Care Clinical Nurse Specialist · Driggs, ID
NPI number
1861936049
Active
Practice location
120 E Howard St
Driggs, ID 83422-5112
Fax (208) 354-2228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APN992817 (CO) |
| Acute Care Clinical Nurse Specialist Primary | 364SA2100X | APN992817 (CO) |
Acute Care Clinical Nurse Specialist: Definition to come...
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About NPI 1861936049
Ellen Rae Mackinnon, CNS-NP's National Provider Identifier is 1861936049, issued on Dec 7, 2016. The primary taxonomy on file is Acute Care Clinical Nurse Specialist (364SA2100X), and the practice location is in Driggs, ID. The record was last updated on Jul 7, 2022.