Mack, Alicia Mae

Mack, Alicia Mae is an individual health care provider with primary practice located at 212 S. 4Th St. Suite 301 Spectra Health, Grand Forks ND 58201. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mack, Alicia Mae can be contacted via phone (701) 757-2100.

Contact Information

Primary practice address
212 S. 4Th St. Suite 301 Spectra Health Grand Forks ND 58201
Phone: (701) 757-2100
Fax: (701) 757-2813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2344340 Minnesota
Nursing Service Providers / Registered Nurse 163W00000X R39910 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R39910 North Dakota

Profile Details

NPI number 1225523004
LBN Legal business name Mack, Alicia Mae
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Feb 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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