Individual
MACKENZIE TUCKER WAYDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11019433
FL
Other
Enumeration date
11/14/2019
Last updated
01/09/2025
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