| Ms Nancy Camille Mack, CRNA | |
|
5901 E 7th St, Long Beach, CA 90822-5201 | |
| (562) 826-5412 | |
| Not Available |
| Full Name | Ms Nancy Camille Mack |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5901 E 7th St, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497855597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2453 (California) | Primary |
| 163W00000X | Registered Nurse | 349515 (California) | Secondary |
| Entity Name | Socal Anesthesia Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407596901 PECOS PAC ID: 0042607426 Enrollment ID: O20220504000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nancy Camille Mack, CRNA 615 Mira Mar Ave, Long Beach, CA 90814-1621 Ph: (562) 434-1390 | Ms Nancy Camille Mack, CRNA 5901 E 7th St, Long Beach, CA 90822-5201 Ph: (562) 826-5412 |
Lizbhet Nunez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Valerie Vigie, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Mrs. Shantall Lisette Strozier, DNAP CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 310-387-7018 | |
Mr. Jay Francis Reyes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Nancy Kelly-culberson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 E Erie St, Long Beach, CA 90802 Phone: 310-251-9801 | |
Wasin Luckanavanich, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-825-8000 | |
Mrs. Sandra A Todd, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-5412 |