Stutzman, Mackenzie Nicole
Stutzman, Mackenzie Nicole is an individual health care provider with primary practice located at 10506 Montgomery Rd , Montgomery OH 45242-4487. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stutzman, Mackenzie Nicole can be contacted via phone (513) 865-2227.Contact Information
Primary practice address
10506 Montgomery Rd
Montgomery OH 45242-4487
Phone: (513) 865-2227
Fax: (513) 865-5552
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN.CNP.0026900 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN2357906 | Massachusetts |
Profile Details
NPI number | 1356955181 |
---|---|
LBN Legal business name | Stutzman, Mackenzie Nicole |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2020 |
Last updated | Nov 18th, 2021 - about 4 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 | 1356955181 | NPPES |
Ohio | MEDICAID | 2565399 |
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