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Regina Macy, NP
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 NP. The NPI Number for Regina Macy is 1356349864 and holds a License No. 71004268A (Indiana).

The current practice location address for Regina Macy is 2651 E Discovery Pkwy, Bloomington, IN and can be reached out via phone at 812-353-3719 and via fax at 812-353-3713.

Location: 2651 E Discovery Pkwy, Bloomington, IN, 47402-1329
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Provider Profile Details
NPI Number
1356349864
Provider Name
Regina Macy
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2651 E Discovery Pkwy, Bloomington, IN, 47402-1329
Phone Number
812-353-3719
Fax Number
812-353-3713
Provider Enumeration Date
07/08/2005
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000904255 01 IN ANTHEM PTAN
201144540 05 IN
institution
Provider Business Practice Location Address Details
Address
2651 E Discovery Pkwy
City
State
Zip
47408-9059
Phone Number
812-353-3719
Fax Number
812-353-3713
person
Provider Business Mailing Address Details
Address
2651 E Discovery Pkwy
City
State
Zip
47408-9059
Phone Number
812-353-3719
Fax Number
812-353-3713
person
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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