Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE GUSTAFSON, PMHNP
Active Sole ProprietorMACKENZIE GUSTAFSON, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in TWIN FALLS, Idaho. NPI 1669101234 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · TWIN FALLS, ID
Registration Details
- NPI Number
- 1669101234
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2022 (4.1503135430182 yrs)
- Last Updated
- Aug 19, 2022
- License
-
59468 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
414 SHOUP AVE W STE BTWIN FALLS, ID, 833015042Browse ID providers · Browse ZIP 83301
- Phone
- 2088149100
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MS. LISA LEAZENBY | FNP-BC, PMHNP - BC | 1437124658 |
| JULIE L AKINS | FNP | 1285811505 |
| MARY JANE HULSEY | FPMH-NP | 1467755769 |
| MR. WILLIAM E BETTS | PMHNP | 1639458409 |
| JEREMIAH W NEIBLING | PMHNP | 1154723120 |
| MARLA JEAN VAN TASSELL | NURSE PRACTITIONER | 1801266572 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.