Individual
MRS. IRENE MARIA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CPNP
Contact information
Practice address
35 MICHIGAN ST NE STE 1800, GRAND RAPIDS, MI 49503-2568
(616) 391-7999
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704279748
MI
Other
Enumeration date
02/09/2015
Last updated
05/28/2024
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