Individual provider · Type 1 NPI

Trudy Johnette Mack, LPN

Licensed Practical Nurse · Rochester, NY

NPI number 1003061839 Active

Practice location

165 N. Water Street, Apt. 205
Rochester, NY 14604

Call (585) 286-0097 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X284904 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003061839

Trudy Johnette Mack, LPN's National Provider Identifier is 1003061839, issued on Nov 20, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Nov 20, 2008.