Individual
MARIE MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
VA MEDICAL CENTER MAIL CODE 112-C, 3801 MIRANDA AVE, PALO ALTO, CA 94304
(650) 493-5000
(650) 849-0319
Mailing address
151 MELVILLE AVE, PALO ALTO, CA 94301-3541
(650) 493-5000
(650) 849-0319
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
324509
CA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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