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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ALICIA MAE MACK, FNP-C

Active

MRS. ALICIA MAE MACK, FNP-C is a Family Nurse Practitioner healthcare provider located in GRAND FORKS, North Dakota. NPI 1225523004 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · GRAND FORKS, ND

Registration Details

NPI Number
1225523004
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2018 (8.1168587449375 yrs)
Last Updated
Feb 24, 2020
Licenses
2344340 (MN)
R39910 (ND)
R39910 (ND)

Practice Information

Address
212 S. 4TH ST. SUITE 301
SPECTRA HEALTH
GRAND FORKS, ND, 58201
Browse ND providers · Browse ZIP 58201
Phone
7017572100
Fax
7017572813
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Registered Nurse
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in GRAND FORKS, ND

Name Credential NPI
BONNIE LEE FREELAND NP 1194784595
MS. MARY PAT HOLLER-BIBEL FNP 1023075975
CASEY M HOOVER FNP-C 1780607788
SETH THOMAS DORMAN FNP-C 1841205689
MRS. ANNE MARIE NYGAARD FNP-C 1386653293
ANDREA MARIE RIENDEAU FNP-C 1548423932
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.