Individual
MACKENNA PONTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
119 COGGESHALL ST, NEW BEDFORD, MA 02746-2443
(508) 990-1900
Mailing address
19 PINETTE ST, NEW BEDFORD, MA 02740-1651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2309585
MA
Other
Enumeration date
02/26/2024
Last updated
07/15/2024
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