Individual provider · NPI-1

Mackenzie Abate, CRNP

Nurse Practitioner, Family · Philadelphia, PA

NPI number1942958525
StatusActive
Last updated in NPPESOct 4, 2022

Details

NPI
1942958525
Entity type
Individual (NPI-1)
Name
Mackenzie Abate
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2022
Certification date
Oct 4, 2022
Last updated
Oct 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySP024345PAYes

Practice location

3322 N Broad St
Philadelphia, PA 19140-5185

Phone 215-707-1800 · Fax 215-707-3644

Mailing address

3500 N Broad Street Room 001a
Philadelphia, PA 19140-4106

Phone 215-926-9022

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