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Regina Macy, GNP
Gerontology Nurse Practitioner in Bloomington, Indiana
NPI 1356349864

Regina Macy is a Gerontology Nurse Practitioner based in Bloomington, IN and is specialized in Gerontology. Regina Macy practices in Bloomington, IN and has the professional credentials of GNP. The NPI Number for Regina Macy is 1356349864 and holds a License No. 71004268A (Indiana).

The current practice location address for Regina Macy is 514 W 2Nd St, Bloomington, IN and can be reached out via phone at 812-353-3719. You can also correspond with Regina Macy through the mailing address at PO BOX 1329, BLOOMINGTON, IN - 47402-1329 (mailing address contact number: ).

Location: 514 W 2Nd St, Bloomington, IN, 47402-1329
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Provider Profile Details
NPI Number
1356349864
Provider Name
Regina Macy
Credential
GNP
Provider Entity Type
Individual
Gender
Female
Address
514 W 2Nd St, Bloomington, IN, 47402-1329
Phone Number
812-353-3719
Fax Number
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201144540 05 IN
institution
Provider Business Practice Location Address Details
Address
514 W 2Nd St
City
State
Zip
47403-2316
Phone Number
812-353-3719
Fax Number
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Provider Business Mailing Address Details
Address
Po Box 1329
City
State
Zip
47402-1329
Phone Number
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71004268A (Indiana)
Definition
Definition to come...
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