Individual
ANNA MARIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
225 S UNION BLVD, COLORADO SPRINGS, CO 80910-3184
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80917-5152
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0995856
CO
Other
Enumeration date
09/14/2020
Last updated
10/05/2023
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