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Diana Lee Mackensen, FNP-C
Family Nurse Practitioner in Willoughby, Ohio
NPI 1629575329

Diana Lee Mackensen is a Family Nurse Practitioner based in Mentor, OH and is specialized in Family. Diana Lee Mackensen practices in Willoughby, OH and has the professional credentials of FNP-C. The NPI Number for Diana Lee Mackensen is 1629575329 and holds a License No. APRN.CNP.021979 (Ohio).

The current practice location address for Diana Lee Mackensen is 36060 Euclid Ave, Willoughby, OH and can be reached out via phone at 440-953-9600.

Location: 36060 Euclid Ave, Willoughby, OH, 44060-1902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629575329
Provider Name
Diana Lee Mackensen
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
36060 Euclid Ave, Willoughby, OH, 44060-1902
Phone Number
440-953-9600
Fax Number
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36060 Euclid Ave
City
Willoughby
State
Ohio
Zip
44094-4656
Phone Number
440-953-9600
Fax Number
person
Provider Business Mailing Address Details
Address
36060 Euclid Ave
City
Willoughby
State
Ohio
Zip
44094-4656
Phone Number
440-953-9600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN.CNP.021979 (Ohio)
Definition
Definition to come...
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