MISS MACKENZIE ICE, MS, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1730671405

Practice Address

6140 S BROADWAY
Lorain, OH 44053

Phone: (440) 233-7232

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 435143 (OH)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 023025 (OH)

Frequently Asked Questions

NPI 1730671405 is the National Provider Identifier for MISS MACKENZIE ICE, MS, APRN, PMHNP-BC, a Nurse Practitioner - Psychiatric/Mental Health provider located in Lorain, OH. This NPI was enumerated on May 30, 2018.
MISS MACKENZIE ICE, MS, APRN, PMHNP-BC practices at 6140 S BROADWAY, Lorain, OH 44053.

Quick Facts

NPI
1730671405
Type
Individual
Enumerated
May 30, 2018
Last Updated
Dec 6, 2018

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