Provider Demographics
NPI:1962501676
Name:MACKEY, DEBRA MILLER (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:MILLER
Last Name:MACKEY
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:135 WEST CRUIKSHANK RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-0000
Mailing Address - Country:US
Mailing Address - Phone:412-629-4939
Mailing Address - Fax:412-688-6965
Practice Address - Street 1:500 PROVIDENCE POINT BOULEVARD
Practice Address - Street 2:PROVIDENCE POINT
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1028
Practice Address - Country:US
Practice Address - Phone:412-489-3540
Practice Address - Fax:412-489-3541
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2013-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAVP005096B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily