Search › Illinois › 363LF0000X
Susan Mack, RN, FNP
NPI 1396955316 · on the registry since 2007
Practice
- Address
- 929 Stacy Burk Drive
Flora, IL 62839 - Phone
- (618) 662-2191
- Organisation at this address
- County Of Clay
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois