Individual provider · Type 1 NPI
Keiosha Shiree Mack, RN
Case Management Registered Nurse · Ithaca, NY
NPI number
1740184266
Active
Practice location
1307 E Pointe Dr
Ithaca, NY 14850-1173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 839001-01 (NY) |
Case Management Registered Nurse: Definition to come...
Another provider at this address
About NPI 1740184266
Keiosha Shiree Mack, RN's National Provider Identifier is 1740184266, issued on Oct 7, 2026. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Ithaca, NY. The record was last updated on Oct 7, 2026.