Wellformed AI

NPI 1194554352 · live from the CMS NPI Registry

Mackenzie O'Hara Anderson, NP

Nurse Practitioner in Colorado Springs, CO. National Provider Identifier 1194554352, active.

NPI record

NPI1194554352 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location142 S Raven Mine Dr Ste 250, Colorado Springs, CO 80905
Practice phone719-579-6890
EnumeratedJuly 29, 2024
Last updatedApril 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner primary363L00000XAPN.0999982-NP (CO)
Nurse Practitioner, Women's Health363LW0102XAPN.0999982-NP (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.