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NPI Code Detail

MEDICARE: MS. MEGHAN ANN MC MACKIN ARNP

MEDICARE: MS. MEGHAN ANN MC MACKIN ARNP
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
1208VP0000XPain Medicine Physician33624.1314WY
2364S00000XClinical Nurse Specialist33624.1314WY
3363LA2200XAdult Health Nurse Practitioner33624.1314WY

General Provider Information

NPI Number : 1316981798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGHAN ANN MC MACKIN ARNP
Provider Business Mailing Address
First Line : 2620 COMMERCIAL WAY STE 20
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-4705
Country : US
Telephone Number : 307-212-6270
Fax Number : 307-786-4016
Provider Business Practice Location Address
First Line : 2620 COMMERCIAL WAY STE 20
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-4705
Country : US
Telephone Number : 307-212-6270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 02/27/2019

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