Ellen Mackinnon, CNS-NP

NPI 1861936049 · on the registry since 2016

Practice

Address: 120 E Howard St
Driggs, ID 83422
Phone: (208) 354-6354
Fax: (208) 354-2228
Organisation at this address: Teton Valley Health Care Inc
Teton Valley Health Care, Inc
Teton Valley Hospital & Surgicenter
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 364SA2100X
364SA2100X
Also registered as: 363LA2200X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho