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Search › Idaho › Psychiatric/Mental Health Nurse Practitioner

Mackenzie Gustafson, PMHNP

NPI 1669101234 · on the registry since 2022 · sole proprietor

Practice

Address
414 Shoup Ave W Ste B
Twin Falls, ID 83301
Phone
(208) 814-9100
Organisation at this address
Community Hope Llc
Community Hope Llc
Community Hope Llc
Community Hope Llc
Twin Falls Internal Medicine Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho