Individual provider · Type 1 NPI

Mackenzie Noesen, CNP

Nurse Practitioner · Woodbury, MN

NPI number 1558975680 Active

Practice location

1000 Radio Dr Ste 120
Woodbury, MN 55125-8410

Fax (651) 495-6893

Mailing address

8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X8774 (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 1558975680

Mackenzie Noesen, CNP's National Provider Identifier is 1558975680, issued on Sep 5, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Woodbury, MN. The record was last updated on Sep 2, 2026.