Individual provider · Type 1 NPI

Mackenzie Tenor, NP

Nurse Practitioner · Kenosha, WI

NPI number 1922874015 Active

Practice location

10400 75th St # 212
Kenosha, WI 53142-7884

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X14529 (WI)
Nurse Practitioner Primary 363L00000X14529 (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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About NPI 1922874015

Mackenzie Tenor, NP's National Provider Identifier is 1922874015, issued on Nov 29, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kenosha, WI. The record was last updated on Feb 19, 2024.