Alexandra Mack

Nurse Practitioner · Saint Paul, MN

Individual Active NPI

NPI number 1821546904

Practice location

640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-4887

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NPI record

NPI
1821546904
Entity type
Individual (Type 1)
Enumeration date
September 16, 2016
Last updated
March 23, 2023
Certified
March 23, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 9691 MN

Mailing address

8170 33rd Ave S # Ms 21110q
Minneapolis, MN 55425-4516

About Alexandra Mack

Alexandra Mack is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 640 Jackson St, Saint Paul, MN 55101-2502. The NPI number 1821546904 was assigned on September 16, 2016 and the record was last updated on March 23, 2023.

Alexandra Mack lists a license in the registry: #9691 (MN) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alexandra Mack?

The NPI number is 1821546904.

What is the phone number of Alexandra Mack?

The phone number listed for the practice location is (651) 254-4887.

Where is Alexandra Mack located?

640 Jackson St, Saint Paul, MN 55101-2502.

What is the taxonomy code for Alexandra Mack?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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