Individual
BONNIE THERESE MACKEY
Active
Individual
BONNIE THERESE MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP,PHD
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1503092
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
305368
NY
Other
Enumeration date
07/23/2010
Last updated
10/15/2021
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