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

Michael Mack

Individual provider Critical Care Medicine Registered Nurse · NPI 1407138712

Michael Mack is a Critical Care Medicine Registered Nurse in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2011

Practice location Address checks out

5416 N Lawrence St
Philadelphia, PA 19120-2804
Phone: (267) 257-9270
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence RN585234 (PA)

Record details

NPI number1407138712
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 13, 2011
Last updated in NPPESSeptember 13, 2011

Other providers in Philadelphia