Individual provider · Type 1 NPI

Brian Mack, FNP-C

Nurse Practitioner · San Francisco, CA

NPI number 1063979128 Active

Practice location

655 Montgomery St Ste 810
San Francisco, CA 94111-2677

Fax (415) 520-9150

Mailing address

5001 Quincemoor Ct
Greensboro, NC 27407-7789

Other practice locations

  • 5001 Quincemoor Ct, Greensboro, NC 27407-7789 · (336) 840-8338

Specialties and licenses

TaxonomyCodeLicense
Pulmonary Disease Physician 207RP1001X5011498 (NC)
Sleep Medicine (Internal Medicine) Physician 207RS0012X5011498 (NC)
Primary Care Nurse Practitioner 363LP2300X5011498 (NC)
Nurse Practitioner Primary 363L00000X5011498 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063979128

Brian Mack, FNP-C's National Provider Identifier is 1063979128, issued on Feb 25, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Francisco, CA. The record was last updated on Dec 19, 2023.