Healthcare Provider Details

I. General information

NPI: 1780031997
Provider Name (Legal Business Name): LINDA MACKEY ND, FNP-BC, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 11/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 E EARLL DR
SCOTTSDALE AZ
85251-6915
US

IV. Provider business mailing address

1385 N SALIDA DEL SOL
CHANDLER AZ
85224-8524
US

V. Phone/Fax

Practice location:
  • Phone: 480-448-7500
  • Fax:
Mailing address:
  • Phone: 951-236-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number09-1125
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberAP8791
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP8791
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: