MACKENZIE SNORTUM PMHNP NPI 1013555887

NPI Information

NPI: 1013555887
Provider Name: MACKENZIE SNORTUM, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1319 GROVE AVE
MONTEVIDEO, MN
ZIP 56265
Phone: (320) 321-9599
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Mackenzie Snortum, PMHNP is a psychiatric/mental health nurse practitioner in Montevideo, MN with 5 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
1	2084P0800X	Psychiatry & Neurology	Psychiatry	7127	MINNESOTA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2019073975	MINNESOTA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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