MACKENZIE WALLACE
NPI 1871420737
Student in an Organized Health Care Education/Training Program in Victoria, MN

Active since May 05, 2026
1772 STIEGER LAKE LN STE 220, VICTORIA, MN 55386(952) 443-4600(952) 443-4604 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie Wallace NPPES

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

MACKENZIE WALLACE (NPI 1871420737) is an individual student in an organized health care education/training program in Victoria, Minnesota and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1871420737
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE WALLACE
Location Address1772 STIEGER LAKE LN STE 220Victoria, MN 55386-7720
Mailing Address1772 Stieger Lake Ln Ste 220Victoria, MN 55386-7720 · (952) 443-4600 · Fax (952) 443-4604
Fax(952) 443-4604
Sole ProprietorYes
Enumeration DateMay 5, 2026
NPPES CertifiedMay 4, 2026
NPI 1871420737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1772 STIEGER LAKE LN STE 220, Victoria, MN 55386

Other Providers at the Same Location NPPES 13

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

Counselor (Professional)
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Psychologist (Counseling)
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Social Worker (Clinical)
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Wallace's NPI number?

The NPI number for Mackenzie Wallace is 1871420737. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Mackenzie Wallace located?

Mackenzie Wallace practices at 1772 Stieger Lake Ln Ste 220, Victoria, MN 55386. The listed phone number is (952) 443-4600.

What is Mackenzie Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Wallace was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.