| Doctor Name: | TERRY MACKENZIE |
| NPI Number: | 1073932422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R076524 |
| Business Practice Address: | 2009 Saint Thomas Dr #308 Waldorf, MD - 206022138 |
| Business Phone Number: | 6194541934 |
| Business Fax Number: | |
| Mailing Address: | 2009 Saint Thomas Dr, #308 WALDORF |
| State: | MD |
| Postal Code: | 206022138 |
| Phone Number: | 6194541934 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2014 |
| NPI Last Update Date: | 04/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | R076524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |