Individual
LYDIA ANNE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
13 TOWN WEST RD STE B3, PLYMOUTH, NH 03264-3428
(603) 945-8048
(603) 945-7110
Mailing address
228 WILLARD ST, BERLIN, NH 03570-1845
(603) 287-4186
(603) 945-7107
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
079038-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034114
—
VT
05
—
3114801
—
NH
Enumeration date
10/01/2018
Last updated
01/06/2025
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