MACKENZIE PUNG

Nurse Practitioner - Acute Care

Active Individual
NPI: 1376320424

Practice Address

770 KENMOOR AVE SE STE 100
Grand Rapids, MI 49546

Phone: (616) 259-3533

Specialties

Specialty Code Primary License
Nurse Practitioner - Acute Care 363LA2100X Yes 4704351413 (MI)

Frequently Asked Questions

NPI 1376320424 is the National Provider Identifier for MACKENZIE PUNG, a Nurse Practitioner - Acute Care provider located in Grand Rapids, MI. This NPI was enumerated on September 12, 2023.
MACKENZIE PUNG practices at 770 KENMOOR AVE SE STE 100, Grand Rapids, MI 49546.

Quick Facts

NPI
1376320424
Type
Individual
Enumerated
Sep 12, 2023
Last Updated
Oct 1, 2025

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