Box, Mackenzie

Box, Mackenzie is an individual health care provider with primary practice located at 1830 Town Center Dr Ste 205 , Reston VA 20190-3236. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Box, Mackenzie can be contacted via phone (703) 435-3636.

Contact Information

Primary practice address
1830 Town Center Dr Ste 205 Reston VA 20190-3236
Phone: (703) 435-3636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024186498 Virginia
Nursing Service Providers / Registered Nurse 163W00000X 0001317538 Virginia

Profile Details

NPI number 1285330183
LBN Legal business name Box, Mackenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2023
Last updated Oct 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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