ANNIKA SIMONE MACK RN NPI 1396485520

NPI Information

NPI: 1396485520
Provider Name: ANNIKA SIMONE MACK, RN
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
3655 E GRANT RD
TUCSON, AZ
ZIP 85716
Phone: (520) 670-3909
Get Directions

Annika Simone Mack, RN is a critical care medicine registered nurse in Tucson, AZ. Annika Simone Mack, RN NPI is 1396485520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3655 E GRANT RD
TUCSON, AZ
ZIP 85716-933
Phone: (520) 670-3909

The NPI 1396485520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2022 and was last updated on 7/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	288126	ARIZONA	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	22115464	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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