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

Elisabeth Ann Mack, RN

Individual provider General Practice Registered Nurse · NPI 1780270900

Elisabeth Ann Mack, RN is a General Practice Registered Nurse in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

4130 Maryland St
San Diego, CA 92103-2330
Phone: (619) 370-3049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence RN452901 (CA)

Record details

NPI number1780270900
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedDecember 13, 2020
Last updated in NPPESDecember 13, 2020
Certification dateDecember 13, 2020

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