Bruce, Mackenzie Andra Sheron

Bruce, Mackenzie Andra Sheron is an sole proprietor health care provider with primary practice located at 1704 Somerset Pl Apt 16 , Louisville KY 40220-3739. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bruce, Mackenzie Andra Sheron can be contacted via phone (480) 352-8155.

Contact Information

Primary practice address
1704 Somerset Pl Apt 16 Louisville KY 40220-3739
Phone: (480) 352-8155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9114831 Florida

Profile Details

NPI number 1811562887
LBN Legal business name Bruce, Mackenzie Andra Sheron
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2021
Last updated Sep 24th, 2021 - about 5 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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