Individual provider · Type 1 NPI
Robert Tack
Psychiatric/Mental Health Nurse Practitioner · Waite Park, MN
NPI number
1578400289
Active
Practice location
209 3rd St NE
Waite Park, MN 56387-1271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 14074 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Waite Park
About NPI 1578400289
Robert Tack's National Provider Identifier is 1578400289, issued on Apr 30, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waite Park, MN. The record was last updated on Apr 30, 2026.