Individual provider · Type 1 NPI
Mary Lou McCormack, RN
General Practice Registered Nurse · Nespelem, WA
NPI number
1790293447
Active
Practice location
19 Lakes Street
Nespelem, WA 99155
Mailing address
PO Box 71
Nespelem, WA 99155-0071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 60802429 (WA) |
General Practice Registered Nurse: Definition to come...
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Other general practice registered nurse providers in Nespelem
About NPI 1790293447
Mary Lou McCormack, RN's National Provider Identifier is 1790293447, issued on Jan 16, 2018. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Nespelem, WA. The record was last updated on Jan 16, 2018.