Individual
AMY K MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
272 BENDIX RD STE 100, VIRGINIA BEACH, VA 23452-1380
(757) 490-7545
Mailing address
4815A LAKE DR, VIRGINIA BEACH, VA 23455-1325
(757) 323-7201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180445
VA
Other
Enumeration date
10/29/2020
Last updated
07/31/2025
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