Mackenzie Gustafson, PMHNP is a psychiatric/mental health nurse practitioner in Twin Falls, ID with 2 years of experience. Mackenzie Gustafson, PMHNP NPI is 1669101234. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
414 SHOUP AVE W STE B
TWIN FALLS, ID
ZIP 83301-042
Phone: (208) 814-9100
The NPI 1669101234 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/8/2022 and was last updated on 8/19/2022.