Provider Demographics
NPI:1508596198
Name:MACAIONE, MORGAN LEE (PA-C)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LEE
Last Name:MACAIONE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:LEE
Other - Last Name:MARSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:984 WHITTIER HWY
Mailing Address - Street 2:
Mailing Address - City:MOULTONBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03254-3305
Mailing Address - Country:US
Mailing Address - Phone:603-476-2216
Mailing Address - Fax:603-476-5396
Practice Address - Street 1:984 WHITTIER HWY
Practice Address - Street 2:
Practice Address - City:MOULTONBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03254-3305
Practice Address - Country:US
Practice Address - Phone:603-476-2216
Practice Address - Fax:603-476-5396
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2010363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant