Individual provider · Type 1 NPI

McKenzie Mack Lake, FNP

Family Nurse Practitioner · Rio Rancho, NM

NPI number 1346793445 Active

Practice location

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100

Mailing address

2225 Delfinio Dr SE
Rio Rancho, NM 87124-2947

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP-02964 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1346793445

McKenzie Mack Lake, FNP's National Provider Identifier is 1346793445, issued on Jul 26, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rio Rancho, NM. The record was last updated on Oct 2, 2023.