Individual
MRS. HEATHER MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
801 11TH AVE SW, MINOT, ND 58701-4274
(701) 693-6773
Mailing address
801 11TH AVE SW, MINOT, ND 58701-4274
(701) 852-1376
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R35344
ND
Other
Enumeration date
11/20/2023
Last updated
09/29/2025
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