Individual provider · Type 1 NPI
Anitra Mack, LPN
Licensed Practical Nurse · Philadelphia, PA
NPI number
1992485403
Active
Practice location
5000 Parkside Ave
Philadelphia, PA 19131-4714
Mailing address
2035 Morris St
Philadelphia, PA 19145-1424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN305638 (PA) |
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.
11 other providers at this address
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- Lynette JacksonLicensed Practical Nurse Philadelphia, PA NPI 1467221770
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About NPI 1992485403
Anitra Mack, LPN's National Provider Identifier is 1992485403, issued on Jul 19, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 5, 2026.