Mckenzie Adam-Hager, CRNA
Nurse Anesthetist, Certified Registered in Springfield, MO. Individual provider (NPI-1).
NPI number1720714587
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1720714587
- Entity type
- Individual (NPI-1)
- Name
- Mckenzie Adam-Hager
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2022
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2023021743 | MO | Yes |
| 163W00000X | Registered Nurse | 2018009000 | MO | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Mckenzie Elizabeth Adam (Former Name)
Practice location
1235 E Cherokee StSpringfield, MO 65804-2203
Phone 417-820-6863
Mailing address
1235 E Cherokee StSpringfield, MO 65804-2203
Phone 417-820-6863
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