Individual
MRS. MACKENZIE LEIGH GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1720 W GRAND ST, SPRINGFIELD, MO 65802-4802
(417) 831-0150
Mailing address
2704 N 29TH ST, OZARK, MO 65721-8464
(417) 350-8016
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2001014349
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2024040091
MO
Other
Enumeration date
10/01/2024
Last updated
10/02/2024
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