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

Mirage Iana Emanni Mack

Individual provider Case Manager/Care Coordinator · NPI 1558031302

Mirage Iana Emanni Mack is a Case Manager/Care Coordinator in Tulsa, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone: (918) 664-4224
Fax: (918) 663-0203
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1558031302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

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