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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356955181 NPPES
Ohio MEDICAID 2565399

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