# MRS. DESIRAE NICOLE MACIAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851763676
- **Gender:** F
- **Credential:** P.A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 028264-01 | NY | — |
| 363A00000X | Physician Assistant | 10772 | AZ | — |
| 363A00000X | Physician Assistant | 285 | FL | — |
| 363A00000X | Physician Assistant | 52952 | CA | — |
| 363A00000X | Physician Assistant | PA0008942 | CO | — |
| 363A00000X | Physician Assistant | PA3264 | NV | — |
| 363A00000X | Physician Assistant | PA52952 | CA | Yes |
| 363A00000X | Physician Assistant | PA9119701 | FL | — |

## Other

- **Enumeration date:** 10/21/2015
- **Last updated:** 10/15/2025