Anita L Mack
Anita L Mack is a Nurse Practitioner in Cecil, Ohio. Qualified in 2020, 6 years ago. Practices with Mercy Medical Partners Northern Region Specialty Care LLC, a 87-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 6
- Licensed in
- OH
- In the registry since
- 2021
Practice location Address checks out
10851 Road 230Cecil, OH 45821-9307
Phone: (419) 399-3444
Fax: (419) 782-3618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence APRN.CNP.0028819 (OH) |
|---|
Record details
| NPI number | 1659946994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 20, 2021 |
| Last updated in NPPES | May 20, 2021 |
| Certification date | May 20, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Mercy Medical Partners Northern Region Specialty Care Llc — 87 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |