NPI 1134512866

Bonnie Susannah Mackey, RN

Practitioner Military Hospital Phoenix, AZ

Practice location

Address: 18018 N 45th Pl, Phoenix, AZ 85032-1521
Phone: (317) 490-1124

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence TRN190693 (AZ)

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Registry record

NPI: 1134512866
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2015
Record last updated: 5 Mar 2015

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.