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Mackenzie Rae Lewis, FNP
Family Nurse Practitioner in Big Rapids, Michigan
NPI 1457941411

Mackenzie Rae Lewis is a Family Nurse Practitioner based in Grand Rapids, MI and is specialized in Family. Mackenzie Rae Lewis practices in Big Rapids, MI and has the professional credentials of FNP. The NPI Number for Mackenzie Rae Lewis is 1457941411 and holds a License No. 4704328268 (Michigan).

The current practice location address for Mackenzie Rae Lewis is 705 Oak St Unit 11, Big Rapids, MI and can be reached out via phone at 616-267-7104.

Location: 705 Oak St Unit 11, Big Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457941411
Provider Name
Mackenzie Rae Lewis
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
705 Oak St Unit 11, Big Rapids, MI, 49503-2560
Phone Number
616-267-7104
Fax Number
Provider Enumeration Date
01/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
705 Oak St Unit 11
City
Big Rapids
State
Michigan
Zip
49307-3108
Phone Number
616-267-7104
Fax Number
person
Provider Business Mailing Address Details
Address
705 Oak St Unit 11
City
Big Rapids
State
Michigan
Zip
49307-3108
Phone Number
616-267-7104
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704328268 (Michigan)
Definition
Definition to come...
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