Provider Demographics
NPI:1760646673
Name:MCKENZIE, NINA J (APRN)
Entity Type:Individual
Prefix:MRS
First Name:NINA
Middle Name:J
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:601 N 30TH ST
Mailing Address - Street 2:PREOP EVALUATION CLINIC
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2137
Mailing Address - Country:US
Mailing Address - Phone:402-449-4198
Mailing Address - Fax:402-449-4856
Practice Address - Street 1:601 N 30TH ST
Practice Address - Street 2:PREOP EVALUATION CLINIC
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2137
Practice Address - Country:US
Practice Address - Phone:402-449-4198
Practice Address - Fax:402-449-4856
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE110635363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health