Provider Demographics
NPI:1649159898
Name:PETERS, MACKENZIE DREW (RN)
Entity type:Individual
Prefix:MISS
First Name:MACKENZIE
Middle Name:DREW
Last Name:PETERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8142 N CAROLYN DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-3420
Mailing Address - Country:US
Mailing Address - Phone:775-220-8834
Mailing Address - Fax:
Practice Address - Street 1:8142 N CAROLYN DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3420
Practice Address - Country:US
Practice Address - Phone:775-220-8834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ305222163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency