Individual
CHRISTIE J MACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
231 BONNET ST, MANCHESTER CENTER, VT 05255-7300
(908) 827-6482
Mailing address
PO BOX 732, EAST DORSET, VT 05253-0732
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
101.0135733
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404905
NY
Other
Enumeration date
10/18/2022
Last updated
05/08/2023
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