Alisha Noel Mack MSN

NPI 1710115654 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1710115654
Gender Female
Enumeration Date 06/30/2009
Last Updated 09/28/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
813 S MICHIGAN ST
SOUTH BEND IN, 46601-3102, US
Phone (574) 283-5572
Fax (574) 283-5571
Business Location
813 S MICHIGAN ST
SOUTH BEND IN, 46601-3102, US
Phone (574) 283-5572
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Indiana
License Number 28169564A
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According to our database, Mrs. Alisha Noel Mack MSN NPI is 1710115654, taxonomy code is 363LF0000X and license number is 28169564A, license state is located at Indiana. Alisha Noel Mack MSN physically located at 813 S Michigan St, South Bend IN, 46601-3102. NPI Number Alisha Noel Mack MSN has the Individual type.

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1710115654 NPI number is provided on an as is basis without warranty of any kind. 1710115654 is maintained by the National Plan & Provider Enumeration System. The contents of Alisha Noel Mack MSN are for informational purposes only.