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

Mackenzie Mae Fadorsen

Individual provider Case Manager/Care Coordinator · NPI 1154101301

Mackenzie Mae Fadorsen is a Case Manager/Care Coordinator in Ravenna, Ohio. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3920 Lovers Ln
Ravenna, OH 44266-4200
Phone: (330) 673-1347
Fax: (330) 678-3677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1154101301
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2023
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

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