Individual
DR. WAYNE MACKENZIE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
319 N LITCHFIELD RD STE 105, GOODYEAR, AZ 85338-1256
(623) 224-1162
(888) 346-3899
Mailing address
319 N LITCHFIELD RD STE 105, GOODYEAR, AZ 85338-1256
(623) 224-1162
(888) 346-3899
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201250163NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
707607
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4913
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804045
AHCCCS
AZ
05
—
QXIPQ0000098776
—
AZ
Enumeration date
05/13/2012
Last updated
07/12/2024
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