Individual
MS. MACKENZIE ASENATH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5103 BELLA VISTA DR, LONGMONT, CO 80503-4123
(720) 899-8838
Mailing address
5103 BELLA VISTA DRIVE, LONGMONT, CO 80503-4123
(720) 899-8838
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025099398
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/28/2026
Last updated
05/06/2026
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