Individual provider · Type 1 NPI
Mackenzee Derrick, AGACNP-BC
Nurse Practitioner · Wauwatosa, WI
Practice location
3289 N Mayfair Rd
Wauwatosa, WI 53222-3203
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 8553-33 (WI) |
| Nurse Practitioner Primary | 363L00000X | 8553 (WI) |
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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- Shannon Walowski, MSN, APNP, AGPCNP-BCNurse Practitioner Wauwatosa, WI NPI 1073056909
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About NPI 1821576406
Mackenzee Derrick, AGACNP-BC's National Provider Identifier is 1821576406, issued on Aug 5, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wauwatosa, WI. The record was last updated on Jan 9, 2025.