IndividualActive
Angelia Mack
NPI 1871901967 · Psychiatric/Mental Health Registered Nurse · Saint Louis, MO
Provider details
- NPI number
- 1871901967
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1999135071 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
1907 1/2 Semple Ave
Saint Louis, MO 63112-4307
Phone: (314) 303-9901
Approximate (ZIP-level) locationGet directions
Mailing address
1907 1/2 Semple Ave
Saint Louis, MO 63112-4307
Registry dates
- Enumerated
- 2014-08-01
- Last updated
- 2014-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.