Individual provider · Type 1 NPI

Mackensie Grant De la Roca, FNP

Family Nurse Practitioner · Forest City, NC

NPI number 1134720766 Active

Practice location

181 Daniel Rd
Forest City, NC 28043-7151

Call (828) 286-9036 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	5013589 (NC)
Family Nurse Practitioner Primary	363LF0000X	5013589 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1134720766

Mackensie Grant De la Roca, FNP's National Provider Identifier is 1134720766, issued on Nov 2, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Forest City, NC. The record was last updated on Jul 15, 2024.