| Ms Katherine Joan Mackenzie, FNP-BC | |
|
308 Haarfager Ave N, Canby, MN 56220-1223 | |
| (828) 777-3203 | |
| Not Available |
| Full Name | Ms Katherine Joan Mackenzie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 308 Haarfager Ave N, Canby, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063674554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 6322 (Minnesota) | Primary |
| Entity Name | Phs Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809765 PECOS PAC ID: 4789598731 Enrollment ID: O20031114000287 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Fort Yates Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609851039 PECOS PAC ID: 3678462744 Enrollment ID: O20040315001479 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Katherine Joan Mackenzie, FNP-BC 308 Haarfager Ave N, Canby, MN 56220-1223 Ph: (828) 777-3203 | Ms Katherine Joan Mackenzie, FNP-BC 308 Haarfager Ave N, Canby, MN 56220-1223 Ph: (828) 777-3203 |
Mrs. Holly L Gisi-york, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Saint Olaf Ave S, Canby, MN 56220 Phone: 507-223-7277 Fax: 605-884-4300 | |
Kase Allen Jacobs, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Saint Olaf Ave S, Canby, MN 56220 Phone: 507-223-7277 | |
Michelle Marie Danielson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Saint Olaf Ave S, Canby, MN 56220 Phone: 507-223-7277 |