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Individual

SAMUEL MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, PMHNP-BC

Contact information

Practice address
6076 S 900 E STE 102, MURRAY, UT 84121-1762
(801) 347-9223
Mailing address
6076 S 900 E STE 102, MURRAY, UT 84121-1762
(801) 347-9223

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10982541-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10982541-8900
UT

Other

Enumeration date
07/11/2023
Last updated
07/19/2023
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