MS. TERESA CHANELLE MACK


Address: 8605 N Granville Rd, Apt.6, Milwaukee, WI 53224-2368
Phone: 4143660912

MS. TERESA CHANELLE MACK (NPI# 1992092183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992092183
Entity Type Individual
Full Name MS. TERESA CHANELLE MACK
Credential LPN
Practice Address 8605 N Granville Rd
Apt.6
Milwaukee
WI 53224-2368
Practice Telephone 4143660912
Mailing Telephone 4143660912
Enumeration Date 2011-07-07
Last Update Date 2011-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 309311-31 WI Nursing Service Providers

Other Providers TERESA MACK

NPI Name Taxonomy Address Enumeration
1336774496 Teresa Mack Case Manager/Care Coordinator 370 Cline Ave, Mansfield, OH 44907-1057 2020-03-10
1508274044 Teresa Ann Mack Counselor 2451 N Mcmullen Booth Rd, Clearwater, FL 33759-1356 2014-07-29

Office Location

Street Address 8605 N GRANVILLE RD
APT.6
City MILWAUKEE
State WI
Zip Code 53224-2368

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124665336 Ltc Pharmacy Services, LLC Pharmacy 11739 W Bradley Rd, Milwaukee, WI 53224 2019-12-06
1811494628 Udoyen Health LLC Psychiatry & Neurology 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 2018-04-09
1003198292 Attentacare Residential Living LLC In Home Supportive Care 8225b North 107th Street, Milwaukee, WI 53224 2011-09-13
1366744278 Sunday Kerobo Registered Nurse 9809 W Fountain Ave, Milwaukee, WI 53224 2010-11-29
1558677237 Valorie J Roberts Registered Nurse 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 2010-08-19
1699092999 United Extended Home Healthcare Services Home Health 6455 N. Fresno Streeet, Milwaukee, WI 53224 2010-04-26
1063742096 Contina Monique Williams Licensed Practical Nurse 3949 N 70th St, Milwaukee, WI 53224 2010-01-14
1316171234 Laura Ann Stern Registered Nurse 7005 N102nd St, Milwaukee, WI 53224 2009-05-06
1124276977 Mary Deloris Wilder Registered Nurse 9851 W. Dean Rd, Milwaukee, WI 53224 2008-09-05
1346413515 Alex B Goldman Counselor 11414 W Park Place Suite 202, Milwaukee, WI 53224 2008-04-09
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285259325 Francia B Williams Licensed Practical Nurse 1536 W Groeling Ave, Milwaukee, WI 53206-2228 2020-06-15
1073136032 Melissa Cortnie Locascio Licensed Practical Nurse 2786 N 68th St, Milwaukee, WI 53210-1203 2020-05-26
1831719137 Kate Jodurff Mitchell Licensed Practical Nurse 10900 W Bluemound Rd Apt 107, Milwaukee, WI 53226-4145 2020-04-16
1467071324 Crystal S Ballard Licensed Practical Nurse 6943 W Florist Ave, Milwaukee, WI 53218-1842 2020-04-10
1093377046 Axia Antoine Licensed Practical Nurse 2609 N 37th St, Milwaukee, WI 53210-2528 2019-06-30
1740842814 Ruth Babbs Licensed Practical Nurse 2944 N 37th St, Milwaukee, WI 53210-1801 2019-06-28
1588128789 Antoinette Williams Licensed Practical Nurse 5151 N 27th St Apt 2, Milwaukee, WI 53209-5551 2019-01-22
1801369111 Latasha Jackson Licensed Practical Nurse 4573 N 22nd St, Milwaukee, WI 53209-6309 2019-01-09
1043785900 Philomena O Ekwueme Licensed Practical Nurse 4509 N 76th St Apt 1, Milwaukee, WI 53218-5343 2018-10-08
1679053284 Aminah Shanell Abdikadir Licensed Practical Nurse 6682 N 51st St, Milwaukee, WI 53223-6035 2018-08-14
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Competitor

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City MILWAUKEE
Zip Code 53224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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