Individual provider · Type 1 NPI
Natasha Marie Mack, NURSE PRACTITIONER
Family Nurse Practitioner · Farmington, MN
NPI number
1003680885
Active
Practice location
905 Elm St
Farmington, MN 55024-1188
Mailing address
250 Skillman St
Brooklyn, NY 11205-1297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 14484 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | 53-82317-091 (KS) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Farmington
About NPI 1003680885
Natasha Marie Mack, NURSE PRACTITIONER's National Provider Identifier is 1003680885, issued on Nov 13, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Farmington, MN. The record was last updated on Sep 18, 2026.