Broeren, Mackenzie

Broeren, Mackenzie is an individual health care provider with primary practice located at 2555 N Dr Martin Luther King Jr Dr , Milwaukee WI 53212-2709. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Broeren, Mackenzie can be contacted via phone (414) 372-8080.

Contact Information

Primary practice address
2555 N Dr Martin Luther King Jr Dr Milwaukee WI 53212-2709
Phone: (414) 372-8080
Fax: (414) 464-6321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 14115-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 14115-33 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 229878-30 Wisconsin

Profile Details

NPI number 1407533672
LBN Legal business name Broeren, Mackenzie
Credentials APNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2023
Last updated Jul 3rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407533672 NPPES
Wisconsin MEDICAID 100243971

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