Individual provider · Type 1 NPI
Crystal Emily Mack, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Queen Creek, AZ
NPI number
1942018775
Active
Practice location
19099 E Walnut Ct
Queen Creek, AZ 85142-2436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 317705 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942018775
Crystal Emily Mack, PMHNP's National Provider Identifier is 1942018775, issued on Dec 26, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Queen Creek, AZ. The record was last updated on Jan 31, 2025.