National Provider Identifier
Marquita D Mack, L.P.N
Marquita D Mack, L.P.N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 894-5462.
Profile Overview
- NPI
- 1225279524
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 16, 2009
- Last Updated
- March 16, 2009
Practice Location
- 535 Stockbridge Ave
- Buffalo, NY 14215-1707
Phone: (716) 894-5462
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1225279524
- Entity Type
- Individual
- Last Name
- Mack
- First Name
- Marquita
- Middle Name
- D
- Name Prefix
- MS.
- Credential
- L.P.N
- Provider Other Last Name
- Smith
- Provider Other First Name
- Marquita
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- L.P.N
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 535 Stockbridge Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1707
- Mailing Country
- US
- Mailing Phone
- (716) 510-6369
- Practice Street Address
- 535 Stockbridge Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1707
- Practice Country
- US
- Practice Phone
- (716) 894-5462
- Enumeration Date
- March 16, 2009
- Last Updated
- March 16, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)