Provider Demographics
NPI:1518601574
Name:MACKEY, MARCUS CAPRICE
Entity Type:Individual
Prefix:
First Name:MARCUS
Middle Name:CAPRICE
Last Name:MACKEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25190 E NOVA PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-6239
Mailing Address - Country:US
Mailing Address - Phone:720-328-5344
Mailing Address - Fax:
Practice Address - Street 1:25190 E NOVA PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-6239
Practice Address - Country:US
Practice Address - Phone:720-328-5344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health