Individual
MACY TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
203 WATSON ST STE 200, PRATT, KS 67124-3092
(620) 672-7422
(855) 884-8184
Mailing address
PO BOX 308, PRATT, KS 67124-0308
(620) 672-7422
(855) 884-8184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-84535-072
KS
Other
Enumeration date
07/10/2025
Last updated
07/22/2025
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