Mackiney, Sandra Carol

Mackiney, Sandra Carol is an individual health care provider with primary practice located at 2611 N Dinuba Blvd , Visalia CA 93291-9003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mackiney, Sandra Carol can be contacted via phone (559) 733-6342.

Contact Information

Primary practice address
2611 N Dinuba Blvd Visalia CA 93291-9003
Phone: (559) 733-6342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP19076 California

Profile Details

NPI number 1083943799
LBN Legal business name Mackiney, Sandra Carol
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2009
Last updated Dec 15th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083943799 NPPES
California Other NP19076 STATE LICENSE

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