MACKENZIE GRAHAM CUNNIUS FNP-BC
NPI 1841037017
Nurse Practitioner in Cape Coral, FL

Active since July 13, 2024
632 DEL PRADO BLVD N STE 301, CAPE CORAL, FL 33909(239) 768-2111 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2026, Jul 13, 2024 (2 updates tracked since 2024).

About Mackenzie Graham Cunnius Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE GRAHAM CUNNIUS FNP-BC (NPI 1841037017) is an individual nurse practitioner in Cape Coral, Florida, licensed in Florida (APRN11047789) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1841037017
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMACKENZIE GRAHAM CUNNIUSCredential: FNP-BC
Location Address632 DEL PRADO BLVD N STE 301Cape Coral, FL 33909-2278
Mailing Address21660 Bella Terra BlvdEstero, FL 33928-7336
Sole ProprietorYes
Enumeration DateJuly 13, 2024
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1841037017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11047789
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 9602210 (FL)
632 DEL PRADO BLVD N STE 301, Cape Coral, FL 33909

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
632 DEL PRADO BLVD N STE 301
CAPE CORAL, FL 33909
Nurse Practitioner (Pediatrics)
632 DEL PRADO BLVD N STE 301
CAPE CORAL, FL 33909
Pediatrics
632 DEL PRADO BLVD N STE 301
CAPE CORAL, FL 33909
Pediatrics
632 DEL PRADO BLVD N STE 301
CAPE CORAL, FL 33909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841037017, enumerated as an "individual" on July 13, 2024.

The provider is located at 632 DEL PRADO BLVD N STE 301 CAPE CORAL, FL 33909 and the phone number is (239) 768-2111.

Nurse Practitioner with taxonomy code 363L00000X.