Individual
MCKENZIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-C
Contact information
Practice address
1450 NW 114TH ST, CLIVE, IA 50325-7039
(515) 238-4133
Mailing address
8820 WENDOVER RD, WEST DES MOINES, IA 50266-4200
(515) 238-4133
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PMH05250027
IA
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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