Individual
MACKENZIE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
165 DARTMOUTH ST, BOSTON, MA 02116-5123
(617) 859-5000
Mailing address
121 PORTLAND ST UNIT 706, BOSTON, MA 02114-2042
(805) 400-5303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2358133
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2358133
MA
Other
Enumeration date
07/11/2023
Last updated
10/02/2024
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