Individual
REGINA MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1015
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R25612
NM
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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