Individual
HEATHER MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1815
Mailing address
PO BOX 105, PUNXSUTAWNEY, PA 15767-0105
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN634480
PA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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