Individual
HUONG X MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 S 70TH ST STE 200, LINCOLN, NE 68506-1568
(402) 476-7557
Mailing address
1600 S 70TH ST STE 200, LINCOLN, NE 68506-1568
(402) 937-8323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111737
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111737
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025734000
—
NE
05
—
10026038300
—
NE
05
—
47075636930
—
NE
05
—
47075636998
—
NE
Enumeration date
10/31/2014
Last updated
09/20/2023
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