IndividualActive
Mackenzie Sullivan, RN
NPI 1457211393 · Psychiatric/Mental Health Registered Nurse · Mauston, WI
Provider details
- NPI number
- 1457211393
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 1087534 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
200 S Hickory St
Mauston, WI 53948-1320
Phone: (608) 847-9270
Approximate (ZIP-level) locationGet directions
Mailing address
200 S Hickory St
Mauston, WI 53948-1320
Registry dates
- Enumerated
- 2025-11-13
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.