Provider / Organization | NPI | Date Certified |
---|---|---|
MACKENZIE HAAS | 1225655095 | 2023-11-17 |
Mackenzie Haas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225655095. Registration indicates Mackenzie Haas is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Mackenzie Haas |
Practice Office Address | 3601 THE VANDERBILT CLINIC NASHVILLE, TN US |
Practice Office Telephone | 6153223000 |
Mailing Address | 3841 GREEN HILLS VILLAGE DR NASHVILLE, TN 372152691 US |
Address | City / State | Phone / Fax |
---|---|---|
3300 W End Ave Apt 402 | Nashville, TN 372031021 | 3037757688 |
Direct Messaging Address [Health Information Service Provider] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 240567
TN |
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 28464
TN |