person
Mackenzie Prentice
Primary Care Nurse Practitioner in Muskego, Wisconsin
NPI 1548923527

Mackenzie Prentice is a Primary Care Nurse Practitioner based in Muskego, WI and is specialized in Primary Care. Mackenzie Prentice practices in Muskego, WI. The NPI Number for Mackenzie Prentice is 1548923527 and holds a License No. 11460 (Wisconsin).

The current practice location address for Mackenzie Prentice is S73W17268 Lake Dr, Muskego, WI and can be reached out via phone at 507-398-6144.

Location: S73W17268 Lake Dr, Muskego, WI, 53150-9353
person
Provider Profile Details
NPI Number
1548923527
Provider Name
Mackenzie Prentice
Credential
Provider Entity Type
Individual
Gender
Female
Address
S73W17268 Lake Dr, Muskego, WI, 53150-9353
Phone Number
507-398-6144
Fax Number
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11460 01 WI WISCONSIN APNP LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
S73W17268 Lake Dr
City
State
Zip
53150-9353
Phone Number
507-398-6144
Fax Number
person
Provider Business Mailing Address Details
Address
S73W17268 Lake Dr
City
State
Zip
53150-9353
Phone Number
507-398-6144
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
11460 (Wisconsin)
Definition
Definition to come...
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