Individual
MISS ANNEKA TIFFANY MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
SELECT SPECIALTY HOSPITAL, 801 BRAXTON PLACE, MADISON, WI 53715
(608) 260-2700
Mailing address
3580 BRECKENRIDGE CT APT 13, FITCHBURG, WI 53713-3675
(954) 240-6316
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
247142-30
WI
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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