Individual provider · Type 1 NPI
Mackenzie Tucker Wayda, CPNP-AC
Pediatric Nurse Practitioner · Miami, FL
NPI number
1043855984
Active
Practice location
3100 SW 62nd Ave
Miami, FL 33155-3009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN11019433 (FL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1043855984
Mackenzie Tucker Wayda, CPNP-AC's National Provider Identifier is 1043855984, issued on Nov 14, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Miami, FL. The record was last updated on Jan 9, 2025.