MARY LOU MCCORMACK RN
NPI 1790293447
Registered Nurse - General Practice in Nespelem, WA

Active since January 16, 2018
19 LAKES STREET, NESPELEM, WA 99155(509) 634-2900 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Lou Mccormack Rn NPPES

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

MARY LOU MCCORMACK RN (NPI 1790293447) is an individual general practice provider in Nespelem, Washington, licensed in Washington (60802429) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1790293447
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMARY LOU MCCORMACKCredential: RN
Location Address19 LAKES STREETNespelem, WA 99155
Mailing AddressPo Box 71Nespelem, WA 99155-0071 · (509) 634-2900
Sole ProprietorYes
Enumeration DateJanuary 16, 2018
NPI 1790293447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License Licensed in WA · 60802429
19 LAKES STREET, Nespelem, WA 99155

Other Identifiers 1

Other60802429WA · Rn

Other Providers at the Same Location NPPES 17

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

Registered Nurse
19 LAKES STREET
NESPELEM, WA 99155
Pharmacist
19 LAKES STREET
NESPELEM, WA 99155
Registered Nurse (Emergency)
19 LAKES STREET
NESPELEM, WA 99155
Registered Nurse
19 LAKES STREET
NESPELEM, WA 99155
Registered Nurse
19 LAKES STREET
NESPELEM, WA 99155
Clinic/Center (Public Health, Federal)
19 LAKES STREET
NESPELEM, WA 99155
Clinic/Center
19 LAKES STREET
NESPELEM, WA 99155
Pharmacist
19 LAKES STREET
NESPELEM, WA 99155

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 Mary Mccormack's NPI number?

The NPI number for Mary Mccormack is 1790293447. It was assigned to this individual provider in the NPPES registry on January 16, 2018.

Where is Mary Mccormack located?

Mary Mccormack practices at 19 Lakes Street, Nespelem, WA 99155. The listed phone number is (509) 634-2900.

What is Mary Mccormack's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Mary Mccormack was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.