National Provider Identifier
Theresa Mack, LPN
Theresa Mack, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 317-7712.
Profile Overview
- NPI
- 1700171378
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 12, 2011
- Last Updated
- June 12, 2011
Practice Location
- 394 Electric Ave
- Rochester, NY 14613-1004
Phone: (585) 317-7712
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1700171378
- Entity Type
- Individual
- Last Name
- Mack
- First Name
- Theresa
- Credential
- LPN
- Mailing Street Address
- 394 Electric Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14613-1004
- Mailing Country
- US
- Mailing Phone
- (585) 317-7712
- Practice Street Address
- 394 Electric Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14613-1004
- Practice Country
- US
- Practice Phone
- (585) 317-7712
- Enumeration Date
- June 12, 2011
- Last Updated
- June 12, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)