Individual
MACKENZIE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4211 COPE ST UNIT 3, ANCHORAGE, AK 99503-5727
(907) 350-3441
Mailing address
4211 COPE ST UNIT 3, ANCHORAGE, AK 99503-5727
(907) 350-3441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
110540
AK
164W00000X
Licensed Practical Nurse
7035
AK
Other
Enumeration date
12/08/2014
Last updated
09/23/2020
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