Charisse L Mack PA

  • NPI 1801973615
According to our database, the NPI number for Charisse L Mack PA is 1801973615 and activated since 17 years ago. Charisse L Mack PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 6140 Curtisian Ave, Boise, ID 83704. You can also contact Charisse L Mack PA via telephone number is (208) 367-3500. Provider NPI information was last updated on 03/04/2013.

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Overview of Charisse L Mack PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/01/2006
  • Last updated: 03/04/2013

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA-632
  • License State: ID

Provider Mailing Address

  • Address: 190 E Bannock St
    Boise, ID 83712
  • Phone: 208-381-2222
  • Fax: 208-367-2968

Provider Practice Location

  • Address: 6140 Curtisian Ave
    Ste 400
    Boise, ID 83704
  • Phone: 208-367-3500
  • Fax: 208-367-2968

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA-632
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 807590500
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Charisse L Mack PA?
  • A: The npi number for Charisse L Mack PA is 1801973615.
  • Q: What are Charisse L Mack PA's specialties?
  • A: Charisse L Mack PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Charisse L Mack PA?
  • A: The medical license number for Charisse L Mack PA is PA-632 and issued in ID in USA.
  • Q: Where is Charisse L Mack PA practice location?
  • A: Charisse L Mack PA is practicing at 6140 Curtisian Ave, Boise, ID 83704.
  • Q: How to contact Charisse L Mack PA?
  • A: You can contact Charisse L Mack PA via 208-367-3500.