IndividualActive
Makenzie Lane
NPI 1609535970 · Addiction (Substance Use Disorder) Registered Nurse · Pace, FL
Provider details
- NPI number
- 1609535970
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN9491838 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
4553 Watkins St
Pace, FL 32571
Phone: (850) 800-2772
Approximate (ZIP-level) locationGet directions
Mailing address
4553 Watkins St
Pace, FL 32571-2511
Registry dates
- Enumerated
- 2021-12-14
- Last updated
- 2021-12-14
- Certified
- 2021-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.