Individual
MARTHA MAYELLA MACKESY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
808 N 74TH PL, SCOTTSDALE, AZ 85257-4323
(818) 523-2491
Mailing address
808 N 74TH PL, SCOTTSDALE, AZ 85257-4323
(818) 523-2491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
274030
AZ
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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