Individual
MACKENZIE LYNN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1000 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-4200
Mailing address
2410 220TH ST, HUMBOLDT, IA 50548-8802
(712) 358-0816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020169468
IA
363L00000X
Nurse Practitioner
Primary
A162658
IA
Other
Enumeration date
02/05/2021
Last updated
05/01/2025
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