About Mackenzie E. Douglass
She is located at 1505 Soquel Dr Ste 1, Attn Credentialing/payer Enrollment, in Santa Cruz, CA 95065. Appointment can be made via the phone number (831) 465-5440.
Mackenzie E. Douglass - Address, Phone & Website
1505 Soquel Dr Ste 1, Attn Credentialing/payer Enrollment, Santa Cruz, CA 95065
(831) 465-5440
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Advanced Practice Midwife | 367A00000X |
| No | Advanced Practice Midwife | 367A00000X |
| No | Advanced Practice Midwife | 367A00000X |
Licenses
| State | License Number |
|---|---|
| California | 95212458 |
| Ohio | APRN.CNM.019342 |
| Illinois | 209.010345 |
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