Individual provider · Type 1 NPI
Kathleen Ann Mack, ARNP
Family Nurse Practitioner · Emmett, ID
NPI number
1326211624
Active
Practice location
1006 Vanderdasson Rd
Emmett, ID 83617-8880
Fax (208) 944-6067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN00106768 (WA) |
| Family Nurse Practitioner | 363LF0000X | 8636044-4405 (UT) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30008033 (WA) |
| Family Nurse Practitioner Primary | 363LF0000X | 73858 (ID) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Emmett
- Debra Anne Phillips, FNP-BCFamily Nurse Practitioner Emmett, ID NPI 1366741019
- Andrea Walsh, DNP, FNP-CFamily Nurse Practitioner Emmett, ID NPI 1376992503
- Ty C. Weber, FNP-CFamily Nurse Practitioner Emmett, ID NPI 1457865388
- Darcy Renee Cook, N.PFamily Nurse Practitioner Emmett, ID NPI 1629699251
- Bobbi Fuller, DNPFamily Nurse Practitioner Emmett, ID NPI 1730798695
- Lisa Isaksen, NP-C, PMHNP-BCFamily Nurse Practitioner Emmett, ID NPI 1841655826
- Deborah Faye Hollingsworth, MSN, FNP-CFamily Nurse Practitioner Emmett, ID NPI 1871591339
About NPI 1326211624
Kathleen Ann Mack, ARNP's National Provider Identifier is 1326211624, issued on Apr 8, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Emmett, ID. The record was last updated on Feb 20, 2024.