Individual
RACHEL LYNN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1300 WOODLAND AVE, WEST DES MOINES, IA 50265-2306
(515) 280-3860
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G131062
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700308426
—
IA
Enumeration date
07/13/2017
Last updated
05/02/2023
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