NPI 1003778119

Mackay Derald Ferrin

Practitioner Psychiatric/Mental Health Nurse Practitioner Gilbert, AZ

Practice location

Address: 3489 E Baseline Rd, Gilbert, AZ 85234-2651
Phone: (480) 542-1212
Mailing address: 3134 S Market St APT 3087, Gilbert, AZ 85295-1347

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 245448 (AZ)

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Registry record

NPI: 1003778119
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Nov 2025
Record last updated: 26 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.