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Individual

MACKENZIE MCMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, CPNP-AC

Contact information

Practice address
316 M.L.K. JR WAY, #304, TACOMA, WA 98403
(509) 521-1951
Mailing address
316 M.L.K. JR WAY, #304, TACOMA, WA 98403

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP61660439
WA

Other

Enumeration date
03/14/2025
Last updated
03/14/2025
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