BRIAN MACK

SAN FRANCISCO, CA
NPI1063979128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5011498)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: NC  5011498)
207RS0012X Internal Medicine, Sleep Medicine
(Licence: NC  5011498)
363LP2300X Nurse Practitioner, Primary Care
(Licence: NC  5011498)
Enumeration Date2019-02-25
Last Update Date2023-12-19
Business Address
Mr. BRIAN MACK FNP-C
655 MONTGOMERY ST STE 810
SAN FRANCISCO, CA 94111-2677
Phone number: 844-847-8216
Mailing Address
Mr. BRIAN MACK FNP-C
5001 QUINCEMOOR CT
GREENSBORO, NC 27407-7789
Phone number: 336-840-8338