Provider Demographics
NPI:1790203891
Name:MACKEY, ANNE LOUISE (RN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:LOUISE
Last Name:MACKEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:LOUISE
Other - Last Name:WELKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 LA CRESCENTA CIR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53716-2432
Mailing Address - Country:US
Mailing Address - Phone:608-445-5008
Mailing Address - Fax:
Practice Address - Street 1:34 LA CRESCENTA CIR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53716-2432
Practice Address - Country:US
Practice Address - Phone:608-445-5008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI157153-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse