Detra Diane Mckenzie in Philadelphia - Registered Nurse
Detra Diane Mckenzie - NPI 1528256245
Detra Diane Mckenzie is a Registered Nurse in Philadelphia, Pennsylvania. Detra Diane Mckenzie practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Detra Diane Mckenzie is 1528256245. The last update date is 2007-10-09.
Detra Diane Mckenzie's current location address is 3975 Conshohocken Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158791000 and fax number 2158793912. The mailing address for Detra Diane Mckenzie is 3975 Conshohocken Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Detra Diane Mckenzie |
|---|---|
| Address | 3975 Conshohocken Ave, Philadelphia, Pennsylvania |
| Phone Number | 2158791000 |
| Fax Number | 2158793912 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1528256245 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2007-10-09 |
Provider Mailing Address Detail
| Address | 3975 Conshohocken Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191315426 |
| Phone Number | 2158791000 |
| Fax Number | 2158793912 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | PN272145 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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What is the unique 10-digit identification code issued to Detra Diane Mckenzie by the Centers for Medicare & Medicaid Services?
The Detra Diane Mckenzie has been assigned the NPI (National Provider Identifier) 1528256245 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Detra Diane Mckenzie located?
The Detra Diane Mckenzie is located at 3975 Conshohocken Ave, Philadelphia, PA 191315426.
What is Detra Diane Mckenzie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Detra Diane Mckenzie's specialized field of practice is Registered Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 163W00000X.
On what date did the Detra Diane Mckenzie receive the assignment of its 1528256245 from the Centers for Medicare & Medicaid Services?
The Detra Diane Mckenzie was issued its 1528256245 by the Centers for Medicare & Medicaid Services on 2007-10-09.
As of what date were the Detra Diane Mckenzie's details last updated?
The information pertaining to the Detra Diane Mckenzie, including its address, specialty, and other details, was most recently updated on 2007-10-09.
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