Individual
MACKENZIE BACOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
606 WILSON CREEK RD, LAWRENCEBURG, IN 47025-1095
(859) 757-4446
(812) 537-4979
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 757-4446
(859) 344-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3017918
KY
363L00000X
Nurse Practitioner
Primary
71013176A
IN
Other
Enumeration date
06/15/2022
Last updated
12/30/2024
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