Individual provider · Type 1 NPI
Joshua Mackenzie
Critical Care Medicine Registered Nurse · Blackfoot, ID
NPI number
1962311696
Active
Practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
382 Partridge Ln
Rexburg, ID 83440-3593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 6981608 (ID) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1962311696
Joshua Mackenzie's National Provider Identifier is 1962311696, issued on Sep 8, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Blackfoot, ID. The record was last updated on Sep 8, 2026.