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Dr. Wayne Mackenzie SR., NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Goodyear, Arizona
NPI 1144589086

Wayne Mackenzie SR. is a Psychiatric/Mental Health Nurse Practitioner based in Goodyear, AZ and is specialized in Psychiatric/Mental Health. Wayne Mackenzie SR. practices in Goodyear, AZ and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Wayne Mackenzie SR. is 1144589086 and holds a License No. 201250163NP (Arizona).

The current practice location address for Wayne Mackenzie SR. is 319 N Litchfield Rd Ste 105, Goodyear, AZ and can be reached out via phone at 623-224-1162 and via fax at 888-346-3899.

Location: 319 N Litchfield Rd Ste 105, Goodyear, AZ, 85338-1256
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Provider Profile Details
NPI Number
1144589086
Provider Name
Wayne Mackenzie SR.
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
319 N Litchfield Rd Ste 105, Goodyear, AZ, 85338-1256
Phone Number
623-224-1162
Fax Number
888-346-3899
Provider Enumeration Date
05/13/2012
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
QXIPQ0000098776 05 AZ
804045 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
319 N Litchfield Rd Ste 105
City
State
Zip
85338-1256
Phone Number
623-224-1162
Fax Number
888-346-3899
person
Provider Business Mailing Address Details
Address
319 N Litchfield Rd Ste 105
City
State
Zip
85338-1256
Phone Number
623-224-1162
Fax Number
888-346-3899
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
201250163NP (Oregon)
Definition
Definition to come...
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