Kathleen Ann Mack

ARNP | Nurse Practitioner | 21+ years Exp

1006 Vanderdasson Rd, Emmett
  Idaho, 83617-8880
208-944-1537
Accepts Medicare Nurse Anesthetist in Emmett, Idaho.
Kathleen Ann Mack is a Emmett, Idaho based nurse practitioner with 21 years of experience in . 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 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 (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 NumberSpecializationStateStatus
73858Family IdahoPrimary
RN00106768Registered Nurse WashingtonSecondary
8636044-4405Family UtahSecondary
AP30008033Psych/Mental Health WashingtonSecondary
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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.