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NPI Code Detail

MEDICARE: MRS. ANNA MICHELLE MACKIE CNM

MEDICARE: MRS. ANNA MICHELLE MACKIE CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwifeCNM767NC

General Provider Information

NPI Number : 1215542378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNA MICHELLE MACKIE CNM
Provider Business Mailing Address
First Line : 129 GOLDENROD CT
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-7036
Country : US
Telephone Number : 910-381-5362
Fax Number :
Provider Business Practice Location Address
First Line : 1234 HUFFMAN MILL RD
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-8777
Country : US
Telephone Number : 336-538-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2020
Last Update Date : 02/03/2026

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