Individual provider · Type 1 NPI

Ardie Vanessa Pack-Mabien, CRNP

Nurse Practitioner · Mobile, AL

NPI number 1891740981 Active

Practice location

1601 Center St, Ste 1S
Mobile, AL 36604-1512

Fax (251) 434-3852

Mailing address

PO Box 40480
Mobile, AL 36640-0480

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-050071 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1891740981

Ardie Vanessa Pack-Mabien, CRNP's National Provider Identifier is 1891740981, issued on May 24, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mobile, AL. The record was last updated on Mar 3, 2017.