Mckenzie, Maureen M
Mckenzie, Maureen M is an individual health care provider with primary practice located at 4111 194Th St Sw , Lynnwood WA 98036-4604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Mckenzie, Maureen M can be contacted via phone (425) 775-2589.Contact Information
Primary practice address
4111 194Th St Sw
Lynnwood WA 98036-4604
Phone: (425) 775-2589
Fax: (425) 775-8846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | AP30002100 | Washington |
Profile Details
| NPI number | 1154419703 |
|---|---|
| LBN Legal business name | Mckenzie, Maureen M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154419703 | NPPES |
| Washington | Other | 187939 | WORKERS COMPENSATION |
| Washington | MEDICAID | 9614215 | WORKERS COMPENSATION |
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