Individual provider · Type 1 NPI

Diana Lee Mackensen, FNP-C

Family Nurse Practitioner · Willoughby, OH

NPI number 1629575329 Active

Practice location

36060 Euclid Ave
Willoughby, OH 44094-4656

Call (440) 953-9600 Map

Mailing address

5699 Charmar Dr
Mentor, OH 44060-1902

Other practice locations

  • 7590 Auburn Rd, Painesville, OH 44077-9176 · (440) 375-8100

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.021979 (OH)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1629575329

Diana Lee Mackensen, FNP-C's National Provider Identifier is 1629575329, issued on Apr 9, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Willoughby, OH. The record was last updated on Apr 9, 2018.