Provider Demographics
NPI:1326558883
Name:BATTERSHELL, MCKENZIE MORGAN (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:MCKENZIE
Middle Name:MORGAN
Last Name:BATTERSHELL
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:OK
Mailing Address - Zip Code:74873-2200
Mailing Address - Country:US
Mailing Address - Phone:405-598-6595
Mailing Address - Fax:405-598-6103
Practice Address - Street 1:418 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:OK
Practice Address - Zip Code:74873-2200
Practice Address - Country:US
Practice Address - Phone:405-598-6595
Practice Address - Fax:405-598-6103
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK97389363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty