Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elianna Gail Edwards Mack

Individual provider Specialist · NPI 1316594039

Elianna Gail Edwards Mack is a Specialist in Moorhead, Minnesota. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

891 Belsly Blvd
Moorhead, MN 56560-5055
Phone: (218) 287-4338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1316594039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020

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