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Contact Information

ELIZABETH J MCKENZIE, APRN
121 SHADY CREST AVE
DEVILLE, LA71328-4000
 Phone: 318-794-5552
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for ELIZABETH J MCKENZIE · (Female)

NPI # 1164032462
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/03/2020
Last updated 08/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 212175
  • LA License # RN144652
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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