MACKENZIE BUZZARD

CHARLESTON, IL
NPI1689359267
Former NameMACKENZIE WERMERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.027613)
Enumeration Date2023-06-20
Last Update Date2023-09-14
Business Address
MACKENZIE BUZZARD FNP
2040 LINCOLN AVE STE 100
CHARLESTON, IL 61920-3197
Phone number: 217-345-2030
Mailing Address
MACKENZIE BUZZARD FNP
PO BOX 372
MATTOON, IL 61938-0372
Phone number: 217-868-2812