IndividualActive
Mackenzie Grover
NPI 1013590751 · Community Health Worker · Fairbanks, AK
Mackenzie Grover is a Community Health Worker provider in Fairbanks, AK (NPI 1013590751).
Provider details
- NPI number
- 1013590751
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Phone: (907) 456-6445
Street-level locationGet directions
Mailing address
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Registry dates
- Enumerated
- 2021-04-30
- Last updated
- 2021-04-30
- Certified
- 2021-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.