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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 309311-31 (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.