Individual
MACKENZIE ANNE LUCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
(206) 215-6364
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 386-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61136904
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
8374
MN
363LA2100X
Acute Care Nurse Practitioner
Primary
AP70036942
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2386588
—
WA
Enumeration date
10/28/2021
Last updated
06/23/2026
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