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Mrs. Alisha Noel Mack, MSN
Family Nurse Practitioner in South Bend, Indiana
NPI 1710115654

Alisha Noel Mack is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Alisha Noel Mack practices in South Bend, IN and has the professional credentials of MSN. The NPI Number for Alisha Noel Mack is 1710115654 and holds a License No. 28169564A (Indiana).

The current practice location address for Alisha Noel Mack is 813 S Michigan St, South Bend, IN and can be reached out via phone at 574-283-5572 and via fax at 574-283-5571.

Location: 813 S Michigan St, South Bend, IN, 46601-3102
person
Provider Profile Details
NPI Number
1710115654
Provider Name
Alisha Noel Mack
Credential
MSN
Provider Entity Type
Individual
Gender
Female
Address
813 S Michigan St, South Bend, IN, 46601-3102
Phone Number
574-283-5572
Fax Number
574-283-5571
Provider Enumeration Date
06/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200962090 05 IN
institution
Provider Business Practice Location Address Details
Address
813 S Michigan St
City
State
Zip
46601-3102
Phone Number
574-283-5572
Fax Number
574-283-5571
person
Provider Business Mailing Address Details
Address
813 S Michigan St
City
State
Zip
46601-3102
Phone Number
574-283-5572
Fax Number
574-283-5571
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28169564A (Indiana)
Definition
Definition to come...
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