Mackenzie Sue Johnson in Fergus Falls - Licensed Practical Nurse

Mackenzie Sue Johnson - NPI 1891993366

Mackenzie Sue Johnson is a Licensed Practical Nurse in Fergus Falls, Minnesota. Mackenzie Sue Johnson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Mackenzie Sue Johnson is 1891993366. The last update date is 2007-07-08.

Mackenzie Sue Johnson's current location address is 106 North 4th Avenue, Fergus Falls, Minnesota. You can contact this provider via phone number 2189983778 and fax number 2189983187. The mailing address for Mackenzie Sue Johnson is 106 North 4th Avenue, Fergus Falls, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mackenzie Sue Johnson
Address 106 North 4th Avenue, Fergus Falls, Minnesota
Phone Number 2189983778
Fax Number 2189983187
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1891993366
Provider Enumeration Date 2007-07-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 106 North 4th Avenue
City Fergus Falls
State Minnesota (MN)
Post Code 565371034
Phone Number 2189983778
Fax Number 2189983187

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No L11671
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Mackenzie Sue Johnson

What is the unique 10-digit identifier code issued to Mackenzie Sue Johnson by the Centers for Medicare & Medicaid Services?

The Mackenzie Sue Johnson has been assigned the NPI (National Provider Identifier) 1891993366 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Mackenzie Sue Johnson is geographically located?

The Mackenzie Sue Johnson is physically situated at the following location: 106 North 4Th Avenue, Fergus Falls, MN, 565371034.

What is Mackenzie Sue Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mackenzie Sue Johnson is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.

On what date did Mackenzie Sue Johnson receive its 1891993366 assignment from the Centers for Medicare & Medicaid Services?

The Mackenzie Sue Johnson was assigned its 1891993366 on 2007-07-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Mackenzie Sue Johnson last refreshed?

The information related to the Mackenzie Sue Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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