Individual
MACKENZIE O'HARA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
142 S RAVEN MINE DR STE 250, COLORADO SPRINGS, CO 80905-4406
(719) 579-6890
Mailing address
142 S RAVEN MINE DR STE 250, COLORADO SPRINGS, CO 80905-4406
(719) 579-6890
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN.1698237
CO
363L00000X
Nurse Practitioner
Primary
APN.0999982-NP
CO
363LW0102X
Women's Health Nurse Practitioner
APN.0999982-NP
CO
Other
Enumeration date
07/29/2024
Last updated
04/13/2026
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