Individual
MADISON WINN MCMACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC, NP
Contact information
Practice address
2555 COURT DR STE 300, GASTONIA, NC 28054-2179
(704) 834-3278
Mailing address
2555 COURT DR STE 300, GASTONIA, NC 28054-2179
(704) 834-3278
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5014530
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/09/2021
Last updated
06/10/2021
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