Individual
MRS. CRYSTAL EMILY MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
19099 E WALNUT CT, QUEEN CREEK, AZ 85142-2436
(480) 278-6650
Mailing address
19099 E WALNUT CT, QUEEN CREEK, AZ 85142-2436
(480) 278-6650
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
317705
AZ
Other
Enumeration date
12/26/2024
Last updated
01/31/2025
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