MACKENZIE PRENTICE

MUSKEGO, WI
NPI1548923527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: WI  11460)
Enumeration Date2021-10-18
Last Update Date2021-11-15
Business Address
MACKENZIE PRENTICE
S73W17268 LAKE DR
MUSKEGO, WI 53150-9353
Phone number: 507-398-6144
Mailing Address
MACKENZIE PRENTICE
S73W17268 LAKE DR
MUSKEGO, WI 53150-9353
Phone number: 507-398-6144