Individual
MACKENZIE MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 ROANOKE BLVD, SALEM, VA 24153-5204
(540) 355-9052
Mailing address
1222 ROANOKE BLVD, SALEM, VA 24153-5204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001270228
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189369
VA
Other
Enumeration date
02/20/2023
Last updated
02/02/2024
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