Individual provider · NPI-1
Mackenzie Clotworthy, NP
Nurse Practitioner, Neonatal · Cypress, TX
NPI number1629492277
StatusActive
Last updated in NPPESMay 14, 2025
Details
- NPI
- 1629492277
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mackenzie Clotworthy
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2014
- Certification date
- May 14, 2025
- Last updated
- May 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0000X | Nurse Practitioner, Neonatal | AP127107 | TX | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | AP127107 | TX |
Practice location
27800 Northwest FwyCypress, TX 77433-5302
Phone 137-704-4000 · Fax 713-704-5269
Mailing address
6431 Fannin St Ste Msb3.244Houston, TX 77030-1501
Phone 713-704-4000 · Fax 713-604-5269
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