Provider Demographics
NPI:1063033900
Name:SCHUMANN, MACKENZIE ANNETTE (ARNP)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:ANNETTE
Last Name:SCHUMANN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MACKENZIE
Other - Middle Name:ANNETTE
Other - Last Name:MORROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1703 S MERIDIAN STE 101
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-7590
Mailing Address - Country:US
Mailing Address - Phone:253-848-3000
Mailing Address - Fax:253-447-1641
Practice Address - Street 1:1703 S MERIDIAN STE 101
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-7590
Practice Address - Country:US
Practice Address - Phone:253-848-3000
Practice Address - Fax:253-447-1641
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRNP240875363LF0000X
WAAP61680013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily