Mcmillin, Mackenzie Graye

Mcmillin, Mackenzie Graye is an individual health care provider with primary practice located at 33 Sewall St , Portland ME 04102-2603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Mcmillin, Mackenzie Graye can be contacted via phone (072) 828-2100.

Contact Information

Primary practice address
33 Sewall St Portland ME 04102-2603
Phone: (072) 828-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1918 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAN1918 Maine

Profile Details

NPI number 1558923326
LBN Legal business name Mcmillin, Mackenzie Graye
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2019
Last updated Feb 17th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558923326 NPPES
Maine MEDICAID 1558923326

Popular Providers