MRS. ADITA GRACIELA MCKENZIE FNP NPI 1124246129

NPI Information

  • NPI: 1124246129
  • Provider Name: MRS. ADITA GRACIELA MCKENZIE, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 12751 HARBOR BLVD
    GARDEN GROVE, CA
    ZIP 92840
  • Phone: (714) 620-8883

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NPI Details

MRS. Adita Graciela Mckenzie, FNP is a family nurse practitioner in Garden Grove, CA. MRS. Adita Graciela Mckenzie, FNP NPI is 1124246129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12751 HARBOR BLVD
GARDEN GROVE, CA
ZIP 92840-800
Phone: (714) 620-8883

The enumeration date for this NPI number is 4/23/2007 and was last updated on 10/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNP12493CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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