Individual
MR. MICHAEL A MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP
Contact information
Practice address
22 BRAMBALL STREET- OPD CLINIC, MAINE MEDICAL CENTER, PORTLAND, ME 04102
(207) 662-2911
Mailing address
22 BRAMHALL STREET, MAINE MEDICAL CENTER - OUTPATIENT CLINIC, PORTLAND, ME 04102
(207) 662-2911
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP081897
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP081897
MAINE STATE BOARD OF NURSING
ME
01
—
R054887
MAINE RN LICENSE
ME
Enumeration date
04/09/2007
Last updated
03/07/2023
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