Individual
CRYSTAL NICOLE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 531-9277
Mailing address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 531-9277
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
14710
OH
Other
Enumeration date
01/17/2008
Last updated
07/12/2013
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