Individual
JOHN R. MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2853
Mailing address
PO BOX 8387, ALBUQUERQUE, NM 87198-8387
(505) 269-6525
(505) 792-5222
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R56021
NM
Other
Enumeration date
03/27/2006
Last updated
11/24/2009
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