MACKENZIE SNORTUM PMHNP NPI 1013555887

NPI Information

  • NPI: 1013555887
  • Provider Name: MACKENZIE SNORTUM, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1319 GROVE AVE
    MONTEVIDEO, MN
    ZIP 56265
  • Phone: (320) 321-9599

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NPI Details

Mackenzie Snortum, PMHNP is a psychiatric/mental health nurse practitioner in Montevideo, MN with 7 years of experience. Mackenzie Snortum, PMHNP NPI is 1013555887. 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:

1319 GROVE AVE
MONTEVIDEO, MN
ZIP 56265-725
Phone: (320) 321-9599

The NPI 1013555887 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 12/12/2019 and was last updated on 7/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry7127MINNESOTANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health2019073975MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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