AMANDA LAINE MCARTHUR-MACISAAC RN, BSN
NPI 1891269940
Registered Nurse - Diabetes Educator in Hattiesburg, MS
Active since January 11, 2019
5909 HIGHWAY 49 SOUTH,, SUITE 30, HATTIESBURG, MS 39402(601) 296-2780(601) 296-2781 Get Directions Write a Review
About Amanda Laine Mcarthur-macisaac Rn, Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA LAINE MCARTHUR-MACISAAC RN, BSN (NPI 1891269940) is an individual diabetes educator provider in Hattiesburg, Mississippi, licensed in Mississippi (880272) and active in the NPI registry since January 2019.
NPPES Registry Identity
NPI1891269940
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameAMANDA LAINE MCARTHUR-MACISAACCredential: RN, BSN
Location Address5909 HIGHWAY 49 SOUTH,, SUITE 30Hattiesburg, MS 39402
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 296-2780 · Fax (601) 579-5240
Phone(601) 296-2780
Fax(601) 296-2781
Sole ProprietorYes
Enumeration DateJanuary 11, 2019
✔ NPI 1891269940 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in MS · 880272
5909 HIGHWAY 49 SOUTH,, Hattiesburg, MS 39402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891269940, enumerated as an "individual" on January 11, 2019.
The provider is located at 5909 HIGHWAY 49 SOUTH, SUITE 30 HATTIESBURG, MS 39402 and the phone number is (601) 296-2780.
Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.
