Individual
MACKAY DERALD FERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3489 E BASELINE RD, GILBERT, AZ 85234-2651
(480) 542-1212
Mailing address
3134 S MARKET ST APT 3087, GILBERT, AZ 85295-1347
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
245448
AZ
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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