Active NPIIndividual provider

Ellen Miller-Mack, NP

Nurse Practitioner, Women's Health in Springfield, Massachusetts

NPI Number1215085238
Practice location
11 Wilbraham RD, Springfield, MA 01109-3161
Fax
413-794-9595
Last updated
October 18, 2021

Ellen Miller-Mack is a Nurse Practitioner, Women's Health based in Springfield, MA. Ellen Miller-Mack practices in Springfield, MA and has the professional credentials of NP. The NPI Number for Ellen Miller-Mack is 1215085238 and holds a License No. RN130468 (MA). The current practice location address for Ellen Miller-Mack is 11 Wilbraham RD, Springfield, MA 01109-3161 and can be reached out via phone at 413-794-3710 and via fax at 413-794-9595.

Provider Profile Details

NPI Number
1215085238
Provider Name
Ellen Miller-Mack
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
11 Wilbraham RD, Springfield, MA 01109-3161
Phone Number
413-794-3710
Fax Number
413-794-9595
Primary Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2007
Last Update Date
October 18, 2021
Certification Date
October 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Wilbraham RD
Springfield, MA 01109-3161
Zip
01109-3161
Phone Number
413-794-3710
Fax Number
413-794-9595
Springfield, MA 01109Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700

License Information

License Number
RN130468
License State
MA
Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ellen Miller-Mack, NP?

The NPI number of Ellen Miller-Mack, NP is 1215085238. It was assigned on January 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Ellen Miller-Mack, NP?

Ellen Miller-Mack, NP is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in MA under license number RN130468.

Where does Ellen Miller-Mack, NP practice?

The practice location is 11 Wilbraham RD, Springfield, MA 01109-3161. The office can be reached at 413-794-3710 (phone) or 413-794-9595 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215085238 directly on the NPPES registry website.

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