IndividualActive
Alexandra Mack
NPI 1821546904 · Nurse Practitioner · Saint Paul, MN
Provider details
- NPI number
- 1821546904
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9691 (MN)
Mailing address
8170 33rd Ave S # Ms 21110q
Minneapolis, MN 55425-4516
Registry dates
- Enumerated
- 2016-09-16
- Last updated
- 2023-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.