Individual
MACKENZIE SNORTUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1011 1ST ST E STE 5, PARK RAPIDS, MN 56470-1764
(320) 321-9599
(877) 962-3624
Mailing address
20122 239TH AVE, NEVIS, MN 56467-4209
(320) 321-9599
(877) 962-3624
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
7127
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019073975
MN
Other
Enumeration date
12/12/2019
Last updated
03/11/2026
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