Mack, Genevieve D.

Mack, Genevieve D. is an individual health care provider with primary practice located at 84 Marginal Way Ste 1000 , Portland ME 04101-2477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mack, Genevieve D. can be contacted via phone (207) 774-4092.

Contact Information

Primary practice address
84 Marginal Way Ste 1000 Portland ME 04101-2477
Phone: (207) 774-4092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 216149 North Carolina

Profile Details

NPI number 1447255542
LBN Legal business name Mack, Genevieve D.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Mar 4th, 2026 - about 7 months 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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