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NPI Code Detail

MEDICARE: CINDY MACKEL NP

MEDICARE: CINDY MACKEL NP
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
1163W00000XRegistered NurseRN035583AZ
2363LG0600XGerontology Nurse Practitioner56865CO

General Provider Information

NPI Number : 1215992441
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY MACKEL NP
Provider Business Mailing Address
First Line : 757 CENTAURI DR
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-1805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2121 NORTH AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-6428
Country : US
Telephone Number : 970-242-0731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 08/28/2014

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