Individual provider · Type 1 NPI

McKenzie Brace

Nurse Practitioner · Minneapolis, MN

NPI number 1508416579 Active

Practice location

2820 Inglewood Ave S
Minneapolis, MN 55416-4112

Fax (763) 465-0588

Mailing address

3243 Fillmore St NE
Minneapolis, MN 55418-2152

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X8342 (MN)
Cardiac Rehabilitation Registered Nurse 163WC3500X2375351 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508416579

McKenzie Brace's National Provider Identifier is 1508416579, issued on Sep 12, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 3, 2021.