Individual provider · Type 1 NPI
Melissa Diana McKenzie, CPNP
Pediatric Nurse Practitioner · Calais, ME
NPI number
1407050164
Active
Practice location
37 Palmer St Ste 1
Calais, ME 04619-1341
Fax (207) 454-3616
Mailing address
424 Woodlawn Rd
Greenwood, SC 29646-9163
Other practice locations
- 3411 Graystone Pl SE, Conover, NC 28613-8200 · (828) 328-1118
- 407 W South St, Union, SC 29379-2771 · (864) 429-8846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 3247 (SC) |
| Pediatric Nurse Practitioner | 363LP0200X | 5003497 (NC) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | CNP201420 (ME) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1407050164
Melissa Diana McKenzie, CPNP's National Provider Identifier is 1407050164, issued on Jun 14, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Calais, ME. The record was last updated on Dec 1, 2021.