Individual
MACKENZIE ELIZABETH MUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2295158
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2295158
MA
Other
Enumeration date
06/27/2022
Last updated
02/16/2024
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