Individual
MACKENZIE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1550 3 MILE RD NW, GRAND RAPIDS, MI 49544-8251
(616) 785-3883
Mailing address
2531 PINESBORO DR NE, GRAND RAPIDS, MI 49525-3054
(616) 915-9831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704274227
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704274227
MI
Other
Enumeration date
06/01/2016
Last updated
09/29/2016
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