Individual provider · Type 1 NPI

Addie McKenzie, CPNP

Pediatric Nurse Practitioner · Lewiston, ME

NPI number 1215475942 Active

Practice location

33 Mollison Way
Lewiston, ME 04240

Mailing address

11 Spring Hill Rd
Merrimac, MA 01860-2260

Other practice locations

  • 11 Spring Hill Rd, Merrimac, MA 01860-2260 · (978) 809-7244

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN72450 (ME)
Registered Nurse 163W00000X2306355 (MA)
Pediatric Nurse Practitioner 363LP0200X2306355 (MA)
Pediatric Nurse Practitioner Primary 363LP0200XCNP181095 (ME)

Pediatric Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1215475942

Addie McKenzie, CPNP's National Provider Identifier is 1215475942, issued on Feb 1, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lewiston, ME. The record was last updated on Jun 12, 2018.