Individual provider · Type 1 NPI

Teresa Chanelle Mack, LPN

Licensed Practical Nurse · Milwaukee, WI

NPI number 1992092183 Active

Practice location

8605 N Granville Rd, APT.6
Milwaukee, WI 53224-2368

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X309311-31 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1992092183

Teresa Chanelle Mack, LPN's National Provider Identifier is 1992092183, issued on Jul 7, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 7, 2011.