Individual provider · Type 1 NPI

Audrey Mac

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1396643383 Active

Practice location

200 W Portal Ave
San Francisco, CA 94127-1423

Mailing address

2567 30th Ave
San Francisco, CA 94116-2931

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XINT54890 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396643383

Audrey Mac's National Provider Identifier is 1396643383, issued on Oct 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Oct 29, 2026.