Individual
GAIL P MACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/NP
Contact information
Practice address
1132 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-3878
(413) 592-1980
(413) 439-0096
Mailing address
186 MILL ST, RANDOLPH, MA 02368-5038
(781) 961-6683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
123439
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-01714
EVERCARE
MA
01
—
P00072102
RAIL ROAD MEDICARE
MA
Enumeration date
07/25/2006
Last updated
10/22/2007
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