Kathleen Ann Mack
ARNP | Nurse Practitioner | 21+ years Exp
1006 Vanderdasson Rd, Emmett
Idaho, 83617-8880
208-944-1537
Kathleen Ann Mack is a Emmett, Idaho based nurse practitioner with 21 years of experience in Nurse Practitioner. She completed her graduation in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathleen Ann Mack is 73858 for Family in Idaho. Her current practice location is 1006 Vanderdasson Rd, Emmett. Patients can reach her at 208-944-1537 or can fax her at 208-944-6067. Kathleen Ann Mack is ARNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1326211624.
Kathleen Ann Mack has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathleen Ann Mack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kathleen Ann Mack |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | ARNP |
| Experience: | 21+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2004 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1006 Vanderdasson Rd, Emmett,
Idaho, 83617-8880 |
| Phone: | 208-944-1537 |
| Fax: | 208-944-6067 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1153498910 |
| Enrollment ID: | I20150129002213 |
| NPI Number: | 1326211624 |
| NPI Enumeration Date: | 08 Apr, 2008 |
| NPI Last Update On: | 20 Feb, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen Ann Mack are as mentioned below.
| License Number | Specialization | State | Status | |
| 73858 | Family | Idaho | Primary | |
| RN00106768 | Registered Nurse | Washington | Secondary | |
| 8636044-4405 | Family | Utah | Secondary | |
| AP30008033 | Psych/Mental Health | Washington | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kathleen Ann Mack is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Valley Mental Health Incorporated (0042121196) | 65 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kathleen Ann Mack
1006 Vanderdasson Rd,
Emmett, Idaho |
| Zip: | 83617-8880 |
| Phone Number: | 208-944-1537 |
| Fax Number: | 208-944-6067 |
Patients can reach Kathleen Ann Mack at
1006 Vanderdasson Rd, Emmett, Idaho or can
call to book an appointment on 208-944-1537.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.