Individual
MACKENZIE ANN OBRIEN
Active
Individual
MACKENZIE ANN OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95020956
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95020956
CA
Other
Enumeration date
06/21/2022
Last updated
09/06/2023
Update your record
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