MELISSA MAC APRN RN NPI 1710674726

NPI Information

  • NPI: 1710674726
  • Provider Name: MELISSA MAC, APRN, RN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 NORTH MEDICAL DR
    SALT LAKE CITY, UT
    ZIP 84132
  • Phone: (720) 280-1422

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NPI Details

Melissa Mac, APRN, RN is an acute care nurse practitioner in Salt Lake City, UT with 3 years of experience. Melissa Mac, APRN, RN NPI is 1710674726. 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:

50 NORTH MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-400
Phone: (720) 280-1422

The NPI 1710674726 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 4/19/2023 and was last updated on 12/12/2024.

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
1163W00000XRegistered Nurse1619994COLORADONo
2363LA2100XNurse PractitionerAcute Care0998873COLORADONo
3363LA2100XNurse PractitionerAcute Care13896857-4405UTAHYes

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: 11/21/2025

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