Individual provider · Type 1 NPI

Mackenzie Norconk

Certified Registered Nurse Anesthetist · Grand Rapids, MI

NPI number 1194697672 Active

Practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Mailing address

4626 Giles Ave NE
Ada, MI 49301-9763

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X4704432585 (MI)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1194697672

Mackenzie Norconk's National Provider Identifier is 1194697672, issued on Sep 23, 2025. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 23, 2025.