Individual
ELISABETH M MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2023 MOON SHADOW RD, BONNERS FERRY, ID 83805-5424
(208) 255-9073
Mailing address
2023 MOON SHADOW RD, BONNERS FERRY, ID 83805-5424
(208) 255-9073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56072
ID
Other
Enumeration date
08/28/2016
Last updated
11/05/2025
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