IndividualActive
Minnie Mack
NPI 1629593769 · Nurse's Aide · Lake City, FL
Provider details
- NPI number
- 1629593769
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
439 Sw Michigan St
Lake City, FL 32025-0440
Phone: (352) 374-5600
Approximate (ZIP-level) locationGet directions
Mailing address
4300 Sw 13th St
Gainesville, FL 32608-4006
Registry dates
- Enumerated
- 2017-08-10
- Last updated
- 2017-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.