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ADDIE MCKENZIE CPNP

Individual Provider (NPI-1) Active

Nurse Practitioner, Pediatrics

Provider Information

NPI Number
1215475942
Provider Type
Individual Provider (NPI-1)
Credentials
CPNP
Status
Active

Contact & Location

Address
33 MOLLISON WAY, LEWISTON, ME, 04240
Phone
(207) 784-5782

Specialties & Taxonomies

Registered Nurse License: ME #RN72450
Registered Nurse License: MA #2306355
Nurse Practitioner, Pediatrics License: MA #2306355
Nurse Practitioner, Pediatrics Primary License: ME #CNP181095

All Addresses

MAILING

11 SPRING HILL RD

MERRIMAC, MA, 018602260

LOCATION

33 MOLLISON WAY

LEWISTON, ME, 04240

(207) 784-5782