Individual
ELIZABETH MARY MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 REDBRIDGE ST, MIDDLE RIVER, MD 21220-2008
(443) 474-8210
Mailing address
416 REDBRIDGE ST, MIDDLE RIVER, MD 21220-2008
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R207548
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R207548
MD
Other
Enumeration date
04/03/2023
Last updated
10/12/2023
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