REGINA MACY

BLOOMINGTON, IN
NPI1356349864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IN  71004268A)
Enumeration Date2005-07-08
Last Update Date2020-12-18
Business Address
REGINA MACY GNP
514 W 2ND ST
BLOOMINGTON, IN 47403-2316
Phone number: 812-353-3719
Mailing Address
REGINA MACY GNP
PO BOX 1329
BLOOMINGTON, IN 47402-1329
Phone number:
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