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

Marisa Dianna Mack

Individual provider Nurse Practitioner · NPI 1447190129

Marisa Dianna Mack is a Nurse Practitioner in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

12180 Park Ave S
Tacoma, WA 98447-0001
Phone: (253) 535-7411
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN61087194 (WA)

Record details

NPI number1447190129
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2026
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address12180 Park Ave S, Tacoma, WA 98447-0001

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