Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN ANN MACK, ARNP
ActiveFamily Nurse Practitioner · EMMETT, ID
Registration Details
- NPI Number
- 1326211624
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2008 (18.071268059215 yrs)
- Last Updated
- Feb 20, 2024
- Licenses
-
RN00106768 (WA)8636044-4405 (UT)AP30008033 (WA)73858 (ID)
Practice Information
- Address
-
1006 VANDERDASSON RDEMMETT, ID, 836178880Browse ID providers · Browse ZIP 83617
- Phone
- 2089441537
- Fax
- 2089446067
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in EMMETT, ID
| Name | Credential | NPI |
|---|---|---|
| DEBORAH FAYE HOLLINGSWORTH | MSN, FNP-C | 1871591339 |
| DEBRA ANNE PHILLIPS | FNP-BC | 1366741019 |
| LISA ISAKSEN | NP-C, PMHNP-BC | 1841655826 |
| DR. ANDREA WALSH | DNP, FNP-C | 1376992503 |
| TY C WEBER | FNP-C | 1457865388 |
| DARCY RENEE COOK | N.P | 1629699251 |
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.