Individual provider · Type 1 NPI
Shannon Marie Mack, DNP, ARNP
Family Nurse Practitioner · Seattle, WA
NPI number
1528890464
Active
Practice location
1959 NE Pacific St
Seattle, WA 98195-0001
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN61206471 (WA) |
| Family Nurse Practitioner Primary | 363LF0000X | AP61598741 (WA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1528890464
Shannon Marie Mack, DNP, ARNP's National Provider Identifier is 1528890464, issued on Aug 19, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Seattle, WA. The record was last updated on Aug 19, 2024.