Individual provider · Type 1 NPI
Alicia Mae Mack, FNP-C
Family Nurse Practitioner · Grand Forks, ND
NPI number
1225523004
Active
Practice location
212 S. 4th St. Suite 301, Spectra Health
Grand Forks, ND 58201
Fax (701) 757-2813
Other practice locations
- 607 Towner Ave, Larimore, ND 58251-4501 · (701) 318-9399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2344340 (MN) |
| Registered Nurse | 163W00000X | R39910 (ND) |
| Family Nurse Practitioner Primary | 363LF0000X | R39910 (ND) |
Family Nurse Practitioner: Definition to come...
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- Kayla Clausen, FNP-CFamily Nurse Practitioner Grand Forks, ND NPI 1023504073
- Laura OlsonFamily Nurse Practitioner Grand Forks, ND NPI 1053897074
- Ethan Lee Thomas, FNP-CFamily Nurse Practitioner Grand Forks, ND NPI 1063017432
- Sydney Gjermundson, FNP-CFamily Nurse Practitioner Grand Forks, ND NPI 1073426581
- Kari GudmundsonFamily Nurse Practitioner Grand Forks, ND NPI 1083072466
- Beth A. Anvarinia, FNP-CFamily Nurse Practitioner Grand Forks, ND NPI 1093201402
About NPI 1225523004
Alicia Mae Mack, FNP-C's National Provider Identifier is 1225523004, issued on Jun 25, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Forks, ND. The record was last updated on Feb 24, 2020.