MARQUITA MACK LICENSED PRACTICAL N
NPI 1154177913
Licensed Practical Nurse in Blue Bell, PA

Q: What is Marquita Mack's NPI number?

The NPI number for Marquita Mack is 1154177913. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Q: What is Marquita Mack's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marquita Mack was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2024

960A HARVEST DR # 100, BLUE BELL, PA 19422(215) 421-8093(484) 640-5994 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 9, 2024, Apr 24, 2024 (2 updates tracked since 2024).

On this page

About Marquita Mack Licensed Practical N NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARQUITA MACK LICENSED PRACTICAL N (NPI 1154177913) is an individual licensed practical nurse in Blue Bell, Pennsylvania, licensed in Pennsylvania (PN312757) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1154177913

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARQUITA MACKCredential: LICENSED PRACTICAL N

Location Address960A HARVEST DR # 100Blue Bell, PA 19422-1991

Mailing Address5836 N Hope StPhila, PA 19120-2412 · (215) 421-8093 · Fax (484) 640-5994

Phone(215) 421-8093

Fax(484) 640-5994

Sole ProprietorNo

Enumeration DateApril 24, 2024

Last NPPES UpdateMay 9, 20242 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1154177913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in PA · PN312757

Definition

A licensed practical nurse 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.

960A HARVEST DR # 100, Blue Bell, PA 19422

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANAI ROBINSON

Licensed Practical Nurse

960A HARVEST DR # 100
BLUE BELL, PA 19422

Montgomery County (610) 825-9360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marquita Mack's NPI number?

The NPI number for Marquita Mack is 1154177913. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Marquita Mack located?

Marquita Mack practices at 960A Harvest Dr # 100, Blue Bell, PA 19422. The listed phone number is (215) 421-8093.

What is Marquita Mack's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marquita Mack was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.