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

Robert Tack

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578400289

Robert Tack is a Psychiatric/Mental Health Nurse Practitioner in Waite Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

209 3rd St NE
Waite Park, MN 56387-1271
Phone: (320) 968-6023
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 14074 (MN)

Record details

NPI number1578400289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address209 3rd St Ne, Waite Park, MN 56387-1271

Other providers in Waite Park