Individual
LEANDRA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6500 VIRGINIA ST SE, LACEY, WA 98513-4941
(610) 568-5322
Mailing address
6500 VIRGINIA ST SE, LACEY, WA 98513-4941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61072092
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP.AP.70125141
WA
Other
Enumeration date
11/20/2024
Last updated
04/24/2026
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