Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brielle Mackay, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073362018

Brielle Mackay, PA-C is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1800 Novell Pl
Provo, UT 84606-6171
Phone: (509) 808-1269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073362018
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address1800 Novell Pl, Provo, UT 84606-6171

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