Individual
MRS. RONNIE SUE MACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 HIGH ST, SUITE 201, MILTON, MA 02186
(617) 594-2300
Mailing address
156 LANSDOWNE ST, QUINCY, MA 02171
(617) 594-2300
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN234540
MA
163WM0705X
Medical-Surgical Registered Nurse
RN234540
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
CNPRN234540
MA
363LC0200X
Critical Care Medicine Nurse Practitioner
CNPRN234540
MA
Other
Enumeration date
08/05/2015
Last updated
08/03/2022
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