Individual provider · Type 1 NPI
Detra Diane McKenzie, RN
Registered Nurse · Philadelphia, PA
Practice location
3975 Conshohocken Ave
Philadelphia, PA 19131-5426
Fax (215) 879-3912
Mailing address
6820 Lynford St
Philadelphia, PA 19149-2116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | PN272145 (PA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1528256245
Detra Diane McKenzie, RN's National Provider Identifier is 1528256245, issued on Oct 9, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 9, 2007.