Individual provider · Type 1 NPI

Mackenzie Lander, NP

Nurse Practitioner · Theodore, AL

NPI number 1770402299 Active

Practice location

7071 Theodore Dawes Rd
Theodore, AL 36582-4077

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-82512 (AL)

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…

About NPI 1770402299

Mackenzie Lander, NP's National Provider Identifier is 1770402299, issued on Jul 10, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Theodore, AL. The record was last updated on Jul 10, 2026.