Individual provider · Type 1 NPI
Angelia Mack
Psychiatric/Mental Health Registered Nurse · St. Louis, MO
NPI number
1871901967
Active
Practice location
1907 1/2 Semple Ave
St. Louis, MO 63112-4307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 1999135071 (MO) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1871901967
Angelia Mack's National Provider Identifier is 1871901967, issued on Aug 1, 2014. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in St. Louis, MO. The record was last updated on Aug 1, 2014.