| NPI | 1003351727 |
|---|---|
| Former Name | MACKENZIE NICOLE KREBSBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-138001) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11031315) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11031315) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2025-06-11 |