Individual provider · Type 1 NPI

Kaitlin Marie Mack, CNP

Family Nurse Practitioner · Columbus, OH

NPI number 1790203370 Active

Practice location

800 Mcconnell Rd
Columbus, OH 43214-3463

Mailing address

3600 S Old 3C Hwy
Galena, OH 43021-9518

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.021460 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1790203370

Kaitlin Marie Mack, CNP's National Provider Identifier is 1790203370, issued on Sep 5, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbus, OH. The record was last updated on Sep 5, 2017.