GENEVIEVE D. MACK CRNP
NPI 1447255542
Nurse Practitioner - Pediatrics in Portland, ME
About Genevieve D. Mack Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENEVIEVE D. MACK CRNP (NPI 1447255542) is an individual pediatrics provider in Portland, Maine, licensed in North Carolina (216149) and active in the NPI registry since June 2005.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, ME 04101
PORTLAND, ME 04101
PORTLAND, ME 04101
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 Genevieve Mack's NPI number?
The NPI number for Genevieve Mack is 1447255542. It was assigned to this individual provider in the NPPES registry on June 15, 2005. The provider is also known as Genevieve D. Moss Crnp.
Where is Genevieve Mack located?
Genevieve Mack practices at 84 Marginal Way Ste 1000, Portland, ME 04101. The listed phone number is (207) 774-4092.
What is Genevieve Mack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
When was this NPI record last updated?
The NPPES record for Genevieve Mack was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Genevieve D. Mack, CRNP · NPI 1447255542
Pediatrics physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since June 15, 2005.
## Identity
- **NPI:** 1447255542 (Entity type: Individual)
- **Enumerated:** June 15, 2005
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 216149 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 84 MARGINAL WAY STE 1000, Portland, ME 04101-2477
- **Phone:** (207) 774-4092
## Record status
- **NPPES last updated:** March 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1447255542) · Data from the CMS NPPES public registry.