MS. TERESA CHANELLE MACK LPN
NPI 1992092183
Licensed Practical Nurse in Milwaukee, WI

Q: What is Teresa Mack's NPI number?

The NPI number for Teresa Mack is 1992092183. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Q: What is Teresa 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 Teresa Mack was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 07, 2011

8605 N GRANVILLE RD, APT.6, MILWAUKEE, WI 53224(414) 366-0912 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Teresa Chanelle Mack Lpn NPPES

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

MS. TERESA CHANELLE MACK LPN (NPI 1992092183) is an individual licensed practical nurse in Milwaukee, Wisconsin, licensed in Wisconsin (309311-31) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1992092183

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. TERESA CHANELLE MACKCredential: LPN

Location Address8605 N GRANVILLE RD, APT.6Milwaukee, WI 53224-2368

Mailing Address8605 N Granville Rd, Apt.6Milwaukee, WI 53224-2368 · (414) 366-0912

Phone(414) 366-0912

Sole ProprietorNo

Enumeration DateJuly 7, 2011

✔ NPI 1992092183 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 WI · 309311-31

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.

8605 N GRANVILLE RD, Milwaukee, WI 53224

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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 Teresa Mack's NPI number?

The NPI number for Teresa Mack is 1992092183. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Teresa Mack located?

Teresa Mack practices at 8605 N Granville Rd Apt.6, Milwaukee, WI 53224. The listed phone number is (414) 366-0912.

What is Teresa 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 Teresa Mack was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.