Mckenzie, Vendetta
Mckenzie, Vendetta is an sole proprietor health care provider with primary practice located at 1000 Bear Swamp Rd , East Stroudsburg PA 18302-9402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mckenzie, Vendetta can be contacted via phone (347) 564-3866.Contact Information
Primary practice address
1000 Bear Swamp Rd
East Stroudsburg PA 18302-9402
Phone: (347) 564-3866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 309891 | New York |
Profile Details
| NPI number | 1467021527 |
|---|---|
| LBN Legal business name | Mckenzie, Vendetta |
| Credentials | AGNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2021 |
| Last updated | Jun 23rd, 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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