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Contact Information

MCKENZIE BRACE
2820 INGLEWOOD AVE S
MINNEAPOLIS, MN55416-4112
 Phone: 914-589-5503
 Fax: 763-465-0588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Cardiac Rehabilitation

163WC3500X
Indicates primary specialty

NPI Profile & details for MCKENZIE BRACE · (Female)

NPI # 1508416579
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2019
Last updated 08/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2375351
  • MN License # 8342
  • MN Other 2375351 RN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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