Individual
SUMMER TENILLE MACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-AG
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP8193
AZ
363LA2100X
Acute Care Nurse Practitioner
AP8193
AZ
363LG0600X
Gerontology Nurse Practitioner
14213049-4405
UT
Other
Enumeration date
11/03/2015
Last updated
08/03/2026
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