Individual provider · Type 1 NPI
Elisabeth Ann Mack, RN
General Practice Registered Nurse · San Diego, CA
NPI number
1780270900
Active
Practice location
4130 Maryland St
San Diego, CA 92103-2330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | RN452901 (CA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1780270900
Elisabeth Ann Mack, RN's National Provider Identifier is 1780270900, issued on Dec 13, 2020. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in San Diego, CA. The record was last updated on Dec 13, 2020.