Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie Johanna Derrett, APNP

Individual provider Gerontology Nurse Practitioner · NPI 1588362743

Mackenzie Johanna Derrett, APNP is a Gerontology Nurse Practitioner in Weston, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
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Practice location Address checks out

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone: (715) 393-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 13609-33 (WI)

Record details

NPI number1588362743
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedFebruary 17, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023

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