Gale, Mckenzie

Gale, Mckenzie is an individual health care provider with primary practice located at 920 W Ironwood Dr Ste 200 , Coeur D Alene ID 83814-2643. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Gale, Mckenzie can be contacted via phone (208) 667-2600.

Contact Information

Primary practice address
920 W Ironwood Dr Ste 200 Coeur D Alene ID 83814-2643
Phone: (208) 667-2600
Fax: (208) 625-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60854066 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 70604 Idaho

Profile Details

NPI number 1578233714
LBN Legal business name Gale, Mckenzie
Credentials DNP, ARNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2021
Last updated May 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578233714 NPPES
Idaho MEDICAID 578233714

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