Mackenzie Blackburn
Mackenzie Blackburn is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Licensed in Ohio. Registered with an NPI since 2020.
- Licensed in
- OH
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
8500 Washington St NE Ste A1Albuquerque, NM 87113-1861
Phone: (505) 828-3837
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 58.035028 (OH) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1235748211 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 27, 2020 |
| Last updated in NPPES | July 15, 2025 |
| Certification date | July 15, 2025 |
| Mailing address | 700 Childrens Dr, Columbus, OH 43205-2664 |
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Mary Blasi, MD
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Anna Bode
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