MR. GARY MCKENZIE FNP-C NPI 1356703599

NPI Information

NPI: 1356703599
Provider Name: MR. GARY MCKENZIE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
18727 JEANETTE ST
SOUTHFIELD, MI
ZIP 48075
Phone: (256) 457-4211
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MR. Gary Mckenzie, FNP-C is a family nurse practitioner in Southfield, MI. MR. Gary Mckenzie, FNP-C NPI is 1356703599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18727 JEANETTE ST
SOUTHFIELD, MI
ZIP 48075-728
Phone: (256) 457-4211
Fax: (248) 569-8337

The NPI 1356703599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2016 and was last updated on 3/27/2016.

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
1	363LF0000X	Nurse Practitioner	Family	4704257988	MICHIGAN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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