Derrett, Mackenzie Johanna
Derrett, Mackenzie Johanna is an individual health care provider with primary practice located at 3400 Ministry Pkwy , Weston WI 54476-5220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Derrett, Mackenzie Johanna can be contacted via phone (715) 393-1000.Contact Information
Primary practice address
3400 Ministry Pkwy
Weston WI 54476-5220
Phone: (715) 393-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 13609-33 | Wisconsin |
Profile Details
| NPI number | 1588362743 |
|---|---|
| LBN Legal business name | Derrett, Mackenzie Johanna |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2023 |
| Last updated | May 15th, 2023 - 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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