Individual
MCKENZIE D WARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1037 CHUCK DAWLEY BLVD STE D100, MOUNT PLEASANT, SC 29464-4149
(843) 962-2999
(843) 790-1949
Mailing address
1037 CHUCK DAWLEY BLVD STE D100, MOUNT PLEASANT, SC 29464-4149
(843) 962-2999
(843) 790-1949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25838
SC
363LF0000X
Family Nurse Practitioner
347600
NY
363LF0000X
Family Nurse Practitioner
RN2332554
MA
Other
Enumeration date
04/21/2021
Last updated
04/14/2026
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