Individual
SUZANNE MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N BRADDOCK AVE, PITTSBURGH, PA 15208-2512
(412) 864-5088
Mailing address
744 BROUGHTON ST, APT 1, PITTSBURGH, PA 15213-1108
(412) 519-0076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
444572
CA
163W00000X
Registered Nurse
Primary
RN626331
PA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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