Individual provider · Type 1 NPI
Mackenzie K. Sullivan, RN
Psychiatric/Mental Health Nurse Practitioner · Waukesha, WI
NPI number
1457211393
Active
Practice location
N20W22961 Watertown Rd
Waukesha, WI 53186-1308
Mailing address
W11095 Lake View Dr
Lodi, WI 53555-1523
Other practice locations
- 110 N Main St, Poynette, WI 53955-9329 · (608) 879-6135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1087534 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 18710-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1457211393
Mackenzie K. Sullivan, RN's National Provider Identifier is 1457211393, issued on Nov 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waukesha, WI. The record was last updated on Jul 24, 2026.