Individual provider · Type 1 NPI

Angelia Mack

Nurse Practitioner · Wichita Falls, TX

NPI number 1356812416 Active

Practice location

4600 Taft Blvd
Wichita Falls, TX 76308-4935

Mailing address

1403 Longview St
Wichita Falls, TX 76306-4648

Other practice locations

  • 1403 Longview St, Wichita Falls, TX 76306-4648 · (210) 232-1880

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP139916 (TX)

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 1356812416

Angelia Mack's National Provider Identifier is 1356812416, issued on Dec 16, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wichita Falls, TX. The record was last updated on Dec 16, 2018.