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