Individual
JOAN MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
13123 E 16TH AVE # B251, AURORA, CO 80045-7106
(303) 724-7869
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0990599-NP
CO
Other
Enumeration date
10/29/2013
Last updated
01/02/2014
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