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Mackenzie Gustafson, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Twin Falls, Idaho
NPI 1669101234

Mackenzie Gustafson is a Psychiatric/Mental Health Nurse Practitioner based in Boise, ID and is specialized in Psychiatric/Mental Health. Mackenzie Gustafson practices in Twin Falls, ID and has the professional credentials of PMHNP. The NPI Number for Mackenzie Gustafson is 1669101234 and holds a License No. 59468 (Idaho).

The current practice location address for Mackenzie Gustafson is 414 Shoup Ave W Ste B, Twin Falls, ID and can be reached out via phone at 208-814-9100.

Location: 414 Shoup Ave W Ste B, Twin Falls, ID, 83712-6241
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Provider Profile Details
NPI Number
1669101234
Provider Name
Mackenzie Gustafson
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
414 Shoup Ave W Ste B, Twin Falls, ID, 83712-6241
Phone Number
208-814-9100
Fax Number
Provider Enumeration Date
06/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
414 Shoup Ave W Ste B
City
State
Zip
83301-5042
Phone Number
208-814-9100
Fax Number
person
Provider Business Mailing Address Details
Address
414 Shoup Ave W Ste B
City
State
Zip
83301-5042
Phone Number
208-814-9100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
59468 (Idaho)
Definition
Definition to come...
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