SearchMichigan363AM0700X

Nisha Mckenzie, PA-C

NPI 1770578676 · on the registry since 2005

Practice

Address
630 Kenmoor Ave Se Ste 103
Grand Rapids, MI 49546
Phone
(616) 600-4950
Fax
(855) 817-3028
Organisation at this address
Kara Pettinger, L.L.C.
Womens Health Collective
Thistle And Fern Wellness Llc
Blue Bridge Specialty Pharmacy, Llc
Melissa Muir Counseling Services Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan