person
Melissa Diana Mckenzie, CPNP
Pediatric Nurse Practitioner in Calais, Maine
NPI 1407050164

Melissa Diana Mckenzie is a Pediatric Nurse Practitioner based in Greenwood, ME and is specialized in Pediatrics. Melissa Diana Mckenzie practices in Calais, ME and has the professional credentials of CPNP. The NPI Number for Melissa Diana Mckenzie is 1407050164 and holds a License No. 3247 (Maine).

The current practice location address for Melissa Diana Mckenzie is 37 Palmer St Ste 1, Calais, ME and can be reached out via phone at 207-454-7521 and via fax at 207-454-3616.

Location: 37 Palmer St Ste 1, Calais, ME, 29646-9163
person
Provider Profile Details
NPI Number
1407050164
Provider Name
Melissa Diana Mckenzie
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
37 Palmer St Ste 1, Calais, ME, 29646-9163
Phone Number
207-454-7521
Fax Number
207-454-3616
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
SCL446H895 01 SC MEDICARE PIN
NP3680 05 SC
institution
Provider Business Practice Location Address Details
Address
37 Palmer St Ste 1
City
State
Zip
04619-1341
Phone Number
207-454-7521
Fax Number
207-454-3616
person
Provider Business Mailing Address Details
Address
37 Palmer St Ste 1
City
State
Zip
04619-1341
Phone Number
207-454-7521
Fax Number
207-454-3616
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
3247 (South Carolina)
Definition
Definition to come...
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