Individual
MICHELE M MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 864-4031
Mailing address
1410 HARDSCRABBLE BLVD, ERIE, PA 16505-2704
(814) 838-3793
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
70449
WV
367500000X
Certified Registered Nurse Anesthetist
RN331682L
PA
Other
Enumeration date
07/12/2007
Last updated
12/12/2008
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