Individual provider · Type 1 NPI
Mackenzie Hansen
Student in an Organized Health Care Education/Training Program · Fox Lake, IL
NPI number
1265984017
Active
Practice location
37 Rushmore Rd
Fox Lake, IL 60020-1623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1265984017
Mackenzie Hansen's National Provider Identifier is 1265984017, issued on Oct 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fox Lake, IL. The record was last updated on Oct 27, 2016.