Individual
MRS. MACKENZIE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
201 S SARA RD, MUSTANG, OK 73064-4303
(405) 272-9355
(405) 578-3254
Mailing address
4501 FARM HILL RD, NORMAN, OK 73072-3906
(405) 209-6925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102890
OK
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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