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ANITRA MACK LPN
NPI 1992485403
Licensed Practical Nurse in Philadelphia, PA

Active since July 19, 2023
5000 PARKSIDE AVE, PHILADELPHIA, PA 19131(215) 879-6116 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anitra Mack Lpn NPPES

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

ANITRA MACK LPN (NPI 1992485403) is an individual licensed practical nurse in Philadelphia, Pennsylvania, licensed in Pennsylvania (PN305638) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1992485403
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANITRA MACKCredential: LPN
Location Address5000 PARKSIDE AVEPhiladelphia, PA 19131-4714
Mailing Address311 Macdonald CloseBear, DE 19701-8306 · (267) 259-7405
Phone(215) 879-6116
Sole ProprietorNo
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1992485403 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 · PN305638
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.
5000 PARKSIDE AVE, Philadelphia, PA 19131
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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.

JAIME VARGAS
Licensed Practical Nurse
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-6116
AVIS BRAHAM
Licensed Practical Nurse
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 837-2842
LANAE ALLIE LPN
Licensed Practical Nurse
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-6116
LYNETTE JACKSON
Licensed Practical Nurse
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-6116
DR. JOSEPH HART M.D.
Psychiatry & Neurology (Psychiatry)
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-6116
DR. JUDITH PROPHETE M.D.
Family Medicine (Addiction Medicine)
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131
Philadelphia County (732) 979-5810
DR. RAYMOND SCOTT BOBB D.O.
Internal Medicine (Addiction Medicine)
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-6116
AMBER PAYNTER
Licensed Practical Nurse
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-6116

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 Anitra Mack's NPI number?

The NPI number for Anitra Mack is 1992485403. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Anitra Mack located?

Anitra Mack practices at 5000 Parkside Ave, Philadelphia, PA 19131. The listed phone number is (215) 879-6116.

What is Anitra 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 Anitra Mack was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.