Individual provider · Type 1 NPI
Mackenzie Hansen, NNP
Critical Care Neonatal Nurse Practitioner · Houston, TX
NPI number
1174910780
Active
Practice location
6621 Fannin St
Houston, TX 77030-2358
Mailing address
13426 Moonlit Lake Ln
Pearland, TX 77584-3733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | COA.17272-NP (OH) |
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | AP133484 (TX) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1174910780
Mackenzie Hansen, NNP's National Provider Identifier is 1174910780, issued on Apr 21, 2015. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Houston, TX. The record was last updated on Oct 13, 2018.