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MACKENZIE NICOLE WYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
7370 TURFWAY ROAD, FLORENCE, KY 41042-4896
(859) 757-4446
(859) 344-1999
Mailing address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 344-1512
(859) 331-3698

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4002212
KY
363L00000X
Nurse Practitioner
71015569A
IN
363LF0000X
Family Nurse Practitioner
4002212
KY

Other

Enumeration date
06/14/2023
Last updated
02/26/2026
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