Individual
ANNIKA SIMONE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
3655 E GRANT RD, TUCSON, AZ 85716-2933
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
22115464
AZ
363LF0000X
Family Nurse Practitioner
Primary
288126
AZ
Other
Enumeration date
03/29/2022
Last updated
02/28/2025
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