Mackenzie Snortum
Nurse Practitioner - Psychiatric/Mental Health
1319 Grove Ave
Montevideo
, Minnesota 56265-1725
Mackenzie Snortum
Nurse Practitioner - Psychiatric/Mental Health
1319 Grove Ave
Montevideo
, Minnesota 56265-1725
(320) 321-9599
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mackenzie Snortum
- 3970 180th St
- Montevideo, MN
- Zip : 56265-4415
- Phone : (320) 321-9599
Second Address
- Mackenzie Snortum
- 1319 Grove Ave
- Montevideo, MN
- Zip : 56265-1725
- Phone : (320) 321-9599
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 2019073975 | MN |
National Provider Identifier
| NPI | 1013555887 |
|---|---|
| Provider Name | Mackenzie Snortum |
| First Address | Montevideo, MN 56265-4415 |
| Second Address | Montevideo, MN 56265-1725 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2019 |
| Last Update Date | 13/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.