ESSENCE SHANAE MACK

CARMEL, IN
NPI1649905084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WM0102X Registered Nurse, Maternal Newborn
(Licence: IN  28217478A)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: IN  09000521A)
Enumeration Date2022-07-20
Last Update Date2026-03-02
Business Address
ESSENCE SHANAE MACK CNM
11725 ILLINOIS ST
CARMEL, IN 46032-3008
Phone number: 317-249-2703
Mailing Address
ESSENCE SHANAE MACK CNM
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: