Individual provider · Type 1 NPI
Zelbesa Vailiida Dakue Mack, CRNP
Adult Health Nurse Practitioner · Timonium, MD
NPI number
1558749267
Active
Practice location
28 Haddington Rd
Timonium, MD 21093-5719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R137492 (MD) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R137492 (MD) |
| Nurse Practitioner | 363L00000X | R137492 (MD) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1558749267
Zelbesa Vailiida Dakue Mack, CRNP's National Provider Identifier is 1558749267, issued on May 13, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Timonium, MD. The record was last updated on Aug 19, 2024.