person
Kathleen Ann Mack, ARNP
Family Nurse Practitioner in Emmett, Idaho
NPI 1326211624

Kathleen Ann Mack is a Family Nurse Practitioner based in Emmett, ID and is specialized in Family. Kathleen Ann Mack practices in Emmett, ID and has the professional credentials of ARNP. The NPI Number for Kathleen Ann Mack is 1326211624 and holds a License No. RN00106768 (Idaho).

The current practice location address for Kathleen Ann Mack is 1006 Vanderdasson Rd, Emmett, ID and can be reached out via phone at 208-944-1537 and via fax at 208-944-6067.

Location: 1006 Vanderdasson Rd, Emmett, ID, 83617-8880
person
Provider Profile Details
NPI Number
1326211624
Provider Name
Kathleen Ann Mack
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1006 Vanderdasson Rd, Emmett, ID, 83617-8880
Phone Number
208-944-1537
Fax Number
208-944-6067
Provider Enumeration Date
04/08/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1006 Vanderdasson Rd
City
State
Zip
83617-8880
Phone Number
208-944-1537
Fax Number
208-944-6067
person
Provider Business Mailing Address Details
Address
1006 Vanderdasson Rd
City
State
Zip
83617-8880
Phone Number
208-944-1537
Fax Number
208-944-6067
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP30008033 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
8636044-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN00106768 (Washington)
Definition
Definition to come...
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