Search › Wisconsin › 363L00000X
Mackenzie Vander Bloomen, MSN, FNP-C
NPI 1740940733 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1860 Shawano Ave
Green Bay, WI 54303 - Phone
- (920) 272-1010
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin