Individual
MACKENZIE MULLEN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
(207) 874-1044
Mailing address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
(207) 874-1044
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2312246
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2312246
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP191293
ME
Other
Enumeration date
01/22/2018
Last updated
01/13/2020
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