Individual provider · Type 1 NPI
Mackenzie Lee Ice, MS, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Lorain, OH
NPI number
1730671405
Active
Practice location
6140 S Broadway
Lorain, OH 44053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 435143 (OH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 023025 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
495 other providers at this address
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About NPI 1730671405
Mackenzie Lee Ice, MS, APRN, PMHNP-BC's National Provider Identifier is 1730671405, issued on May 30, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lorain, OH. The record was last updated on Dec 6, 2018.